Provider Demographics
NPI:1083937676
Name:FAMILY MEDICINE OF OCALA, PLLC
Entity Type:Organization
Organization Name:FAMILY MEDICINE OF OCALA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-299-5473
Mailing Address - Street 1:2560 SW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1380
Mailing Address - Country:US
Mailing Address - Phone:352-347-3705
Mailing Address - Fax:352-347-3705
Practice Address - Street 1:2560 SW 35TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1380
Practice Address - Country:US
Practice Address - Phone:352-347-3705
Practice Address - Fax:352-347-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty