Countryside Medical PA

NPI #1275610362 in Ocala, Florida

Provider Information

NPI Number: 1275610362
Entity Type: Organization
Organization Name: Countryside Medical PA
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Sep 1, 2023

Practice Location

Address: 7860 SW 103RD STREET RD
Address 2: BLDG 100 SUITE 101
City: Ocala
State: Florida
ZIP Code: 34476-8623
Phone: (352) 873-4458

Authorized Official

Name: DR. KENNETH BARUCH LEE, DO
Title: OWNER PRESIDENT
Phone: (352) 873-4458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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