Provider Demographics
NPI:1841569464
Name:PRO2 OCALA, LLC
Entity Type:Organization
Organization Name:PRO2 OCALA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-469-5771
Mailing Address - Street 1:3405 SW COLLEGE RD
Mailing Address - Street 2:SUITE 227
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7452
Mailing Address - Country:US
Mailing Address - Phone:352-671-1720
Mailing Address - Fax:352-671-1725
Practice Address - Street 1:3405 SW COLLEGE RD
Practice Address - Street 2:SUITE 227
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7452
Practice Address - Country:US
Practice Address - Phone:352-671-1720
Practice Address - Fax:352-671-1725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies