Healthcare Provider Details
I. General information
NPI: 1093206039
Provider Name (Legal Business Name): OCALA ONCOLOGY CENTER, PL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2018
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3130 SW 32ND AVE
OCALA FL
34474
US
IV. Provider business mailing address
3130 SW 32ND AVE
OCALA FL
34474
US
V. Phone/Fax
- Phone: 352-547-1915
- Fax: 352-732-2698
- Phone: 352-547-1915
- Fax: 352-732-2698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH31272 |
| License Number State | FL |
VIII. Authorized Official
Name:
ARNO
WEISS
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM.D. RPH
Phone: 352-547-1915