Provider Demographics
NPI:1356753628
Name:MARET, RONALD
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:MARET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 SW 37TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1373
Mailing Address - Country:US
Mailing Address - Phone:352-572-4473
Mailing Address - Fax:352-867-1442
Practice Address - Street 1:210 SE 7TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4250
Practice Address - Country:US
Practice Address - Phone:352-572-4473
Practice Address - Fax:352-867-1442
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCGC1520116171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor