Provider Demographics
NPI:1225348758
Name:OCALA PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:OCALA PSYCHIATRIC ASSOCIATES
Other - Org Name:TIMOTHY L. BYRD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-629-4350
Mailing Address - Street 1:2 SW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6518
Mailing Address - Country:US
Mailing Address - Phone:352-629-4350
Mailing Address - Fax:352-629-3070
Practice Address - Street 1:2 SW 12TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6518
Practice Address - Country:US
Practice Address - Phone:352-629-4350
Practice Address - Fax:352-629-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty