Healthcare Provider Details

I. General information

NPI: 1548217185
Provider Name (Legal Business Name): DIAGNOSTIC OUTPATIENT CENTERS OF OCALA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 SE 17TH ST
OCALA FL
34471-3912
US

IV. Provider business mailing address

1030 SE 17TH ST
OCALA FL
34471-3912
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-3627
  • Fax: 352-401-0444
Mailing address:
  • Phone: 352-401-3627
  • Fax: 352-401-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LARRY J WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 727-896-2202