Active NPI
Ocala Pediatrics LLC
- Pediatrics Physician
- Ocala, FL
National Provider Identifier
1578601464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- OCALA PEDIATRICS LLC
- Practice address
- 1500 SE 17TH St
#600
Ocala, FL 34471-4621 - Phone
- (352) 732-8955
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul C Logas, MD
- Title
- President
- Phone
- (352) 732-8955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FL | Primary |
Addresses
Primary practice location
1500 SE 17TH St
#600
Ocala, FL 34471-4621
Mailing address
1500 SE 17TH St
#600
Ocala, FL 34471-4621
Phone (352) 732-8955
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0272797 | Uf Health Pediatrics - Ocala | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1500 SE 17th St
Ste 600
Ocala, FL 34471
Phone (352) 273-7770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1578601464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SE 17TH ST",
"address_2": "#600",
"city": "OCALA",
"state": "FL",
"postal_code": "344714621",
"telephone_number": "352-732-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SE 17TH ST",
"address_2": "#600",
"city": "OCALA",
"state": "FL",
"postal_code": "344714621",
"telephone_number": "352-732-8955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCALA PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "LOGAS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-732-8955",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.