Healthcare Provider Details

I. General information

NPI: 1588038749
Provider Name (Legal Business Name): MAGNOLIA FAMILY URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2015
Last Update Date: 09/02/2025
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 SE MAGNOLIA EXT
OCALA FL
34471-4443
US

IV. Provider business mailing address

PO BOX 309-160
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-512-9703
  • Fax: 352-512-9706
Mailing address:
  • Phone: 352-512-9703
  • Fax: 352-512-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALI MAZHAR RANA
Title or Position: PRESIDENT
Credential:
Phone: 352-333-5980