| Ocana Medical Center Llc | |
|
6529 Gunn Highway Tampa FL 33625-4021 | |
| (813) 968-8314 | |
| (813) 961-3096 |
| Full Name | Ocana Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6529 Gunn Highway, Tampa, Florida |
| Authorized Official Name and Position | Antonio L Ocana (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8139688314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocana Medical Center Llc 6529 Gunn Highway Tampa FL 33625-4021 Ph: (813) 968-8314 | Ocana Medical Center Llc 6529 Gunn Highway Tampa FL 33625-4021 Ph: (813) 968-8314 |
| NPI Number | 1508027657 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 8820166473 |
|---|---|
| Medicare Enrollment ID | O20081008000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508027657 | NPI | - | NPPES |
| 276616700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 95608 (Florida) | Primary |
| Provider Name | Antonio L Ocana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396753620 PECOS PAC ID: 6002911955 Enrollment ID: I20070420000394 |
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