Healthcare Provider Details

I. General information

NPI: 1548049562
Provider Name (Legal Business Name): ALEJANDRO SIERRA-OCAMPO APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 SW 49TH RD
OCALA FL
34474-6262
US

IV. Provider business mailing address

PO BOX 100237
GAINESVILLE FL
32610-0237
US

V. Phone/Fax

Practice location:
  • Phone: 352-355-1282
  • Fax:
Mailing address:
  • Phone: 352-392-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11028836
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11028836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: