MEDICARE: MARION INTERNAL MEDICINE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME70943	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023491057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION INTERNAL MEDICINE ASSOCIATES

Provider Business Mailing Address
First Line	:	4905 SE 5TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-4766
Country	:	US
Telephone Number	:	352-629-9634
Fax Number	:	352-629-6350

Provider Business Practice Location Address
First Line	:	1805 SE LAKE WEIR AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-5426
Country	:	US
Telephone Number	:	352-629-9634
Fax Number	:	352-629-6350

Authorized Official
Title or Position	:	OWNER
Name	:	BINDESHWARI SINHA
Credential	:	M.D.
Telephone Number	:	352-629-9634

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	07/10/2015

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