| Ocala Consulting & Prevention, Llc | |
|
2100 Se 17th St Ste 702 Ocala FL 34471-4171 | |
| (352) 622-4488 | |
| (352) 565-2196 |
| Full Name | Ocala Consulting & Prevention, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 Se 17th St Ste 702, Ocala, Florida |
| Authorized Official Name and Position | Jackie Marie Gibson-jacobowitz (CEO) |
| Authorized Official Contact | 3526224488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocala Consulting & Prevention, Llc 2303 Se 17th St Ste 102 Ocala FL 34471-9109 Ph: (352) 622-4488 | Ocala Consulting & Prevention, Llc 2100 Se 17th St Ste 702 Ocala FL 34471-4171 Ph: (352) 622-4488 |
| NPI Number | 1790351641 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790351641 | NPI | - | NPPES |
| 010325500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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