| Destiny Medical Associates, Inc. | |
|
150 Se 17th St Suite 801 Ocala FL 34471-5178 | |
| (352) 622-4888 | |
| (352) 694-4884 |
| Full Name | Destiny Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Joseph Aziegbemi Oibo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3526224888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Medical Associates, Inc. Po Box 36 Ocala FL 34478-0036 Ph: (352) 622-4888 | Destiny Medical Associates, Inc. 150 Se 17th St Suite 801 Ocala FL 34471-5178 Ph: (352) 622-4888 |
| NPI Number | 1922041193 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204834518 |
|---|---|
| Medicare Enrollment ID | O20061121000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922041193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 70676 (Florida) | Primary |
| Provider Name | Joseph A Oibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598744674 PECOS PAC ID: 2668470972 Enrollment ID: I20061121000417 |
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