Healthcare Provider Details

I. General information

NPI: 1922065705
Provider Name (Legal Business Name): BURNS PRCHAL MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 SW 11TH ST
OCALA FL
34478
US

IV. Provider business mailing address

PO B 4045
OCALA FL
34478
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-8600
  • Fax:
Mailing address:
  • Phone: 352-351-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: LEE PRCHAL
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 352-351-8600