Healthcare Provider Details

I. General information

NPI: 1144385337
Provider Name (Legal Business Name): SAMER R CHOKSI MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 SW 19TH AVENUE RD UNIT 200
OCALA FL
34471-7758
US

IV. Provider business mailing address

2221 SW 19TH AVENUE RD UNIT 200
OCALA FL
34471-7758
US

V. Phone/Fax

Practice location:
  • Phone: 352-203-4408
  • Fax: 844-602-4616
Mailing address:
  • Phone: 352-203-4408
  • Fax: 844-602-4616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberME96416
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: