Ocala Innovative Medical, LLC

NPI #1033500616 in Ocala, Florida

Provider Information

NPI Number: 1033500616
Entity Type: Organization
Organization Name: Ocala Innovative Medical, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 5481 SW 60TH ST
Address 2: UNIT 302
City: Ocala
State: Florida
ZIP Code: 34474-7698
Phone: (352) 840-0444

Authorized Official

Name: DOUGLAS L SWINSON, DC
Title: SOLE MEMBER
Phone: (352) 840-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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