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OCALA HEALTH SURGICAL GROUP LLC NPI 1659540524


NPI Information

NPI: 1659540524
Provider Name: OCALA HEALTH SURGICAL GROUP LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
4600 SW 46TH CT
SUITE 250
OCALA, FL
ZIP 34474
Phone: (352) 291-2400
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OCALA HEALTH SURGICAL GROUP LLC is a thoracic surgery cardiothoracic vascular surgery in Ocala, FL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. OCALA HEALTH SURGICAL GROUP LLC NPI is 1659540524. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4600 SW 46TH CT
SUITE 250
OCALA, FL
ZIP 34474-708
Phone: (352) 291-2400
Fax: (352) 291-2405

The provider's authorized official is Chuck Mewshaw .
The authorized official title is Vp and has the following contact phone number (850) 521-2117.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 1/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3208600000XSurgeryNo
4207X00000XOrthopaedic SurgeryNo
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP473MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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