Provider Demographics
NPI:1548217185
Name:DIAGNOSTIC OUTPATIENT CENTERS OF OCALA INC
Entity Type:Organization
Organization Name:DIAGNOSTIC OUTPATIENT CENTERS OF OCALA INC
Other - Org Name:DOCS OF OCALA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-896-2202
Mailing Address - Street 1:1030 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3912
Mailing Address - Country:US
Mailing Address - Phone:352-401-3627
Mailing Address - Fax:352-401-0444
Practice Address - Street 1:1030 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-3912
Practice Address - Country:US
Practice Address - Phone:352-401-3627
Practice Address - Fax:352-401-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU4668Medicare ID - Type Unspecified