Provider Demographics
NPI:1558557249
Name:OCALA FAMILY PHYSICIANS PA
Entity Type:Organization
Organization Name:OCALA FAMILY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-732-9922
Mailing Address - Street 1:3515 SE 17TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5586
Mailing Address - Country:US
Mailing Address - Phone:352-732-9922
Mailing Address - Fax:352-732-6934
Practice Address - Street 1:3515 SE 17TH ST
Practice Address - Street 2:STE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5586
Practice Address - Country:US
Practice Address - Phone:352-732-9922
Practice Address - Fax:352-732-6934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50997207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0125Medicare PIN