Healthcare Provider Details

I. General information

NPI: 1023318060
Provider Name (Legal Business Name): OCALA HEALTH IMAGING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SE 17TH ST BLDG 800
OCALA FL
34471-9107
US

IV. Provider business mailing address

2300 SE 17TH ST BLDG 800
OCALA FL
34471-9107
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-9606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID DYE
Title or Position: VP
Credential:
Phone: 352-690-8408