Healthcare Provider Details

I. General information

NPI: 1619080231
Provider Name (Legal Business Name): ASSOCIATES FOR UROLOGY CARE OF OCALA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SE 18TH AVE BLDG 300
OCALA FL
34471-8215
US

IV. Provider business mailing address

1901 SE 18TH AVE BLDG 300
OCALA FL
34471-8215
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-1313
  • Fax: 352-351-1927
Mailing address:
  • Phone: 352-351-1313
  • Fax: 352-351-1927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: AIMEE L BROWN
Title or Position: BILLING MANAGER
Credential:
Phone: 352-351-1313