Healthcare Provider Details

I. General information

NPI: 1013049147
Provider Name (Legal Business Name): AMELIA B ALDAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 NE 36TH AVE
OCALA FL
34470-4932
US

IV. Provider business mailing address

1112 NE 36TH AVE
OCALA FL
34470-4932
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-0061
  • Fax: 352-629-8812
Mailing address:
  • Phone: 352-351-0061
  • Fax: 352-629-8812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME0038830
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: