| Express Primary Care Of Ocala | |
|
1834 Sw 1st Ave Ste 201 Ocala FL 34471-8102 | |
| (352) 732-9888 | |
| (352) 732-0490 |
| Full Name | Express Primary Care Of Ocala |
|---|---|
| Speciality | Internal Medicine |
| Location | 1834 Sw 1st Ave Ste 201, Ocala, Florida |
| Authorized Official Name and Position | Gordon M Johnson (OWNER) |
| Authorized Official Contact | 3527329888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Primary Care Of Ocala 1834 Sw 1st Ave Ste 201 Ocala FL 34471-8102 Ph: (352) 732-9888 | Express Primary Care Of Ocala 1834 Sw 1st Ave Ste 201 Ocala FL 34471-8102 Ph: (352) 732-9888 |
| NPI Number | 1891565826 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 0345683264 |
|---|---|
| Medicare Enrollment ID | O20240208000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891565826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tanya M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629415500 PECOS PAC ID: 4981845203 Enrollment ID: I20130730000390 |
| Provider Name | Robert D Glore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255863494 PECOS PAC ID: 6103194550 Enrollment ID: I20170608000357 |
| Provider Name | W Marc Blanchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841724390 PECOS PAC ID: 3072917186 Enrollment ID: I20210811004203 |
| Provider Name | Cortney O Aubertine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649993551 PECOS PAC ID: 3375909674 Enrollment ID: I20230511000595 |
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