NPIMap

Organization Active NPI

Infectious Diseases Associates of North Central Florida LLC

  • Infectious Disease Physician
  • Ocala, FL
National Provider Identifier
1154550747
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME95964 Issued in FL
Legal business name
INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC
Practice address
3306 SW 26TH Ave
Suite 104
Ocala, FL 34471-7856
Phone
(352) 867-8805
Fax
(352) 867-8844
NPI assigned
Jul 6, 2009
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Anbalan
Title
MBR
Phone
(352) 867-8805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME95964 FL Primary

Addresses

Primary practice location

3306 SW 26TH Ave
Suite 104
Ocala, FL 34471-7856

Mailing address

3306 SW 26TH Ave
Suite 104
Ocala, FL 34471-7856
Phone (352) 867-8805

Other identifiers 1

IdentifierTypeStateIssuer
DP3525OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000618 FL Part B Supplier - Clinic/Group Practice 0547314700 Receives reassigned benefits from 12 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

1203 SW 12th St
Ste 3
Ocala, FL 34471

3306 SW 26th Ave
Ocala, FL 34471

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1154550747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 SW 26TH AVE",
            "address_2": "SUITE 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717856",
            "telephone_number": "352-867-8805",
            "fax_number": "352-867-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 SW 26TH AVE",
            "address_2": "SUITE 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717856",
            "telephone_number": "352-867-8805",
            "fax_number": "352-867-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "ANBALAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "352-867-8805"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME95964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP3525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.