Provider Demographics
NPI:1538239124
Name:OCALA EYE SURGERY CENTER INC
Entity type:Organization
Organization Name:OCALA EYE SURGERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOTALING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-873-9311
Mailing Address - Street 1:3330 SW 33RD RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7458
Mailing Address - Country:US
Mailing Address - Phone:352-873-9311
Mailing Address - Fax:352-873-9652
Practice Address - Street 1:3330 SW 33RD RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7458
Practice Address - Country:US
Practice Address - Phone:352-873-9311
Practice Address - Fax:352-873-9652
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCALA EYE SURGERY CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305429200Medicaid
FLK3097Medicare ID - Type Unspecified