Healthcare Provider Details

I. General information

NPI: 1942648332
Provider Name (Legal Business Name): L. MCCHESNEY, M.D. & SURGICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 SW HIGHWAY 200
OCALA FL
34476-9210
US

IV. Provider business mailing address

6907 SW HIGHWAY 200
OCALA FL
34476-9210
US

V. Phone/Fax

Practice location:
  • Phone: 352-300-3636
  • Fax: 352-624-8722
Mailing address:
  • Phone: 352-300-3636
  • Fax: 352-624-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE PAUL MCCHESNEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-300-3636