Ocala Integrative Medicine Llc | |
27 Se 11th Ave, Ocala, FL 34471-2332 | |
(352) 732-5590 | |
(352) 732-0292 |
Full Name | Ocala Integrative Medicine Llc |
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Type | Facility |
Speciality | Pain Medicine - Pain Medicine |
Location | 27 Se 11th Ave, Ocala, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548410756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH9403 (Florida) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | OS7403 (Florida) | Primary |
Provider Name | Anthony J Sancetta |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1043218233 PECOS PAC ID: 2466478169 Enrollment ID: I20051021000504 |
Provider Name | Jonathan Ray Walker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801092218 PECOS PAC ID: 2062576705 Enrollment ID: I20090205000205 |
Provider Name | Angela M Land |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326431438 PECOS PAC ID: 7315268331 Enrollment ID: I20150603000382 |
Provider Name | Joseph Soto |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861865602 PECOS PAC ID: 3971805599 Enrollment ID: I20160113001232 |
Provider Name | John Richard Wilhelmsen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457545469 PECOS PAC ID: 8123112471 Enrollment ID: I20161202001497 |
Provider Name | Kimmel R Chisolm |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851752778 PECOS PAC ID: 4587945217 Enrollment ID: I20170111001823 |
Provider Name | Adriana Lynn Gabriel-chisolm |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831606938 PECOS PAC ID: 3072862945 Enrollment ID: I20180827001182 |
Provider Name | Lacey Ebert |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649673518 PECOS PAC ID: 6406171263 Enrollment ID: I20181221000167 |
Provider Name | Lynval Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194210807 PECOS PAC ID: 3072847888 Enrollment ID: I20190628000184 |
Provider Name | Kent William Sabatose |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972146306 PECOS PAC ID: 7810320272 Enrollment ID: I20191126001228 |
Provider Name | Meagan Elizabeth Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306476569 PECOS PAC ID: 6103252051 Enrollment ID: I20200212001938 |
Mailing Address | Practice Location Address |
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Ocala Integrative Medicine Llc 27 Se 11th Ave, Ocala, FL 34471-2332 Ph: (352) 732-5590 | Ocala Integrative Medicine Llc 27 Se 11th Ave, Ocala, FL 34471-2332 Ph: (352) 732-5590 |