Provider Demographics
NPI:1770671885
Name:PRIMARY CARE SPECIALISTS OF NORTH FLORIDA LLC
Entity Type:Organization
Organization Name:PRIMARY CARE SPECIALISTS OF NORTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-861-4603
Mailing Address - Street 1:1805 SE 16TH AVE
Mailing Address - Street 2:#400
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4672
Mailing Address - Country:US
Mailing Address - Phone:352-351-3093
Mailing Address - Fax:352-351-0981
Practice Address - Street 1:1805 SE 16TH AVE
Practice Address - Street 2:#400
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4672
Practice Address - Country:US
Practice Address - Phone:352-351-3093
Practice Address - Fax:352-351-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty