| Azalea Marion, Llc | |
|
8585 Sw Highway 200 Unit 3 Ocala FL 34481-9643 | |
| (352) 237-7896 | |
| (352) 355-3069 |
| Full Name | Azalea Marion, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8585 Sw Highway 200 Unit 3, Ocala, Florida |
| Authorized Official Name and Position | Remal Patel (DENTAL DIRECTOR) |
| Authorized Official Contact | 8133403510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Marion, Llc 601 S Harbour Island Blvd Ste 200 Tampa FL 33602-5735 Ph: (352) 237-7896 | Azalea Marion, Llc 8585 Sw Highway 200 Unit 3 Ocala FL 34481-9643 Ph: (352) 237-7896 |
| NPI Number | 1639716012 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639716012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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