| Sunshine State Medical Clinic Pa | |
|
1305 Se 25th Loop Ste 103 Ocala FL 34471-6090 | |
| (352) 369-5440 | |
| (352) 369-5442 |
| Full Name | Sunshine State Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1305 Se 25th Loop Ste 103, Ocala, Florida |
| Authorized Official Name and Position | Uday Shanker Mishra (PRESIDENT) |
| Authorized Official Contact | 3523695440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine State Medical Clinic Pa 1305 Se 25th Loop Suit 103 Ocala FL 34471 Ph: (352) 369-5440 | Sunshine State Medical Clinic Pa 1305 Se 25th Loop Ste 103 Ocala FL 34471-6090 Ph: (352) 369-5440 |
| NPI Number | 1063683126 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 06/27/2008 |
| Medicare PECOS PAC ID | 5890763213 |
|---|---|
| Medicare Enrollment ID | O20040922000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063683126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME73537 (Florida) | Primary |
| Provider Name | Uday Shanker Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275636474 PECOS PAC ID: 4789652108 Enrollment ID: I20100805001175 |
| Provider Name | Jennifer Baboolall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598220154 PECOS PAC ID: 6204250731 Enrollment ID: I20200716003217 |
Siva Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 | |
Central Florida Heart Group P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 | |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 | |
Integrative Health Care And Physical Medicine Ocala Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 | |
Poonam Warman M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 | |
Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 | |
Ocala Innovative Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5481 Sw 60th St, Unit 302, Ocala, FL 34474 Phone: 352-840-0444 |