Organization Active NPI

American Family Medical LLC

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1720248347
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7024 Issued in FL
Legal business name
AMERICAN FAMILY MEDICAL LLC
Practice address
1750 SE 28TH Loop
Ocala, FL 34471-1080
Phone
(352) 351-4634
Fax
(352) 351-1900
NPI assigned
Jun 17, 2008
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Dr. David Lucious Oliver, DONPI 1164404455
Title
President
Phone
(352) 351-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7024 FL Primary

Addresses

Primary practice location

1750 SE 28TH Loop
Ocala, FL 34471-1080

Mailing address

1750 SE 28TH Loop
Ocala, FL 34471-1080
Phone (352) 351-4634

Other identifiers 1

IdentifierTypeStateIssuer
57170OtherFLOTHER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000303 FL Part B Supplier - Clinic/Group Practice 5799852315 Receives reassigned benefits from 5 practitioners
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1090776American Family Medical LLC1750 SE 28TH Loop, Ocala, FL 34471AccreditationJul 16, 2027

National Provider Directory

National Provider Directory

Locations

1750 SE 28th Loop
Ocala, FL 34471
Phone (352) 351-4634

1805 SE 16th Ave
Unit 1201
Ocala, FL 34471
Phone (352) 351-4634

4600 SW 46th Ct
Ste 380
Ocala, FL 34474
Phone (325) 291-2212

7550 SW 61st Ave
Ocala, FL 34476
Phone (352) 732-7337

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1720248347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SE 28TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711080",
            "telephone_number": "352-351-4634",
            "fax_number": "352-351-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SE 28TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711080",
            "telephone_number": "352-351-4634",
            "fax_number": "352-351-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LUCIOUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-351-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "57170",
            "state": "FL"
        }
    ],
    "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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.