Healthcare Provider Details

I. General information

NPI: 1396371886
Provider Name (Legal Business Name): INTELLIGENCE HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 05/22/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 E FORT KING ST
OCALA FL
34470-1319
US

IV. Provider business mailing address

PO BOX 3870
OCALA FL
34478
US

V. Phone/Fax

Practice location:
  • Phone: 352-421-5681
  • Fax: 844-927-4812
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FELIX ANGEL BAEZ
Title or Position: IT
Credential:
Phone: 352-777-0834