Provider Demographics
NPI:1710384029
Name:SPECIALISTS OF OCALA, LLC
Entity Type:Organization
Organization Name:SPECIALISTS OF OCALA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STRUVE-DOERFLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-816-1800
Mailing Address - Street 1:4801 SE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-6668
Mailing Address - Country:US
Mailing Address - Phone:352-816-1800
Mailing Address - Fax:352-245-6922
Practice Address - Street 1:419 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0609
Practice Address - Country:US
Practice Address - Phone:352-789-6617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty