Provider Demographics
NPI:1396370318
Name:FOCUS HEALTHCARE PA
Entity Type:Organization
Organization Name:FOCUS HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KITCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-867-9601
Mailing Address - Street 1:1805 SE LAKE WEIR AVE STE B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5426
Mailing Address - Country:US
Mailing Address - Phone:352-867-9601
Mailing Address - Fax:352-671-8267
Practice Address - Street 1:1805 SE LAKE WEIR AVE STE B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5426
Practice Address - Country:US
Practice Address - Phone:352-867-9601
Practice Address - Fax:352-671-8267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty