Provider Demographics
NPI:1922606128
Name:MEDICAL SPECIALISTS OF FLORIDA
Entity Type:Organization
Organization Name:MEDICAL SPECIALISTS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:CPCS, PESC
Authorized Official - Phone:847-770-6086
Mailing Address - Street 1:6600 SW STATE ROAD 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-5554
Mailing Address - Country:US
Mailing Address - Phone:352-237-4116
Mailing Address - Fax:
Practice Address - Street 1:304 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-0803
Practice Address - Country:US
Practice Address - Phone:352-362-9142
Practice Address - Fax:325-237-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center