Provider Demographics
NPI:1649392333
Name:EXPRESS CARE OF OCALA INC
Entity type:Organization
Organization Name:EXPRESS CARE OF OCALA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:F
Authorized Official - Last Name:REISNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-732-9888
Mailing Address - Street 1:1834 SW 1ST AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8100
Mailing Address - Country:US
Mailing Address - Phone:352-732-9888
Mailing Address - Fax:352-732-0490
Practice Address - Street 1:1834 SW 1ST AVE
Practice Address - Street 2:STE 201
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8100
Practice Address - Country:US
Practice Address - Phone:352-732-9888
Practice Address - Fax:352-732-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063701700Medicaid
FL063701700Medicaid
FLCM1482Medicare PIN
FL72876Medicare PIN
FL0465400001Medicare NSC