Provider Demographics
NPI:1437557766
Name:GERIATRIC CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:GERIATRIC CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SRINIVASA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-873-1010
Mailing Address - Street 1:10238 SW 86TH CIR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-7626
Mailing Address - Country:US
Mailing Address - Phone:352-873-1010
Mailing Address - Fax:352-873-4387
Practice Address - Street 1:10238 SW 86TH CIR
Practice Address - Street 2:SUITE 300
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7626
Practice Address - Country:US
Practice Address - Phone:352-873-1010
Practice Address - Fax:352-873-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL049277207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty