Countryside Medical Pa in Ocala - Internal Medicine
Countryside Medical Pa - NPI 1275610362
Countryside Medical Pa is a Internal Medicine in Ocala, Florida. Countryside Medical Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Countryside Medical Pa is 1275610362. The last update date is 2023-09-01.
Countryside Medical Pa's current location address is Po Box 770719, Ocala, Florida. You can contact this provider via phone number 3528734458 and fax number 3528738116. The mailing address for Countryside Medical Pa is Po Box 770719, Ocala, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Medical Pa |
|---|---|
| Address | Po Box 770719, Ocala, Florida |
| Phone Number | 3528734458 |
| Fax Number | 3528738116 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Lee Baruch Kenneth |
| Credentials | DO |
| Telephone Number | 3528734458 |
NPI Number Detail
| NPI Number | 1275610362 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2023-09-01 |
Provider Mailing Address Detail
| Address | Po Box 770719 |
|---|---|
| City | Ocala |
| State | Florida (FL) |
| Post Code | 344770719 |
| Phone Number | 3528734458 |
| Fax Number | 3528738116 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG9421 | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Countryside Medical Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Countryside Medical Pa has been assigned the NPI (National Provider Identifier) 1275610362. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Countryside Medical Pa is physically located?
The Countryside Medical Pa is physically situated at the following address: Po Box 770719, Ocala, FL, 344770719.
What is the Countryside Medical Pa's specialty and taxonomy code?
The Countryside Medical Pa's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275610362 to Countryside Medical Pa?
The Countryside Medical Pa received its 1275610362 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information pertaining to Countryside Medical Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Countryside Medical Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-01.