Organization Active NPI

Supermale

  • Clinic/Center
  • Ocala, FL
National Provider Identifier
1801261086
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUPERMALE
Practice address
5345 SW College Rd
Ocala, FL 34474-5717
Phone
(844) 625-3872
Fax
(352) 229-8853
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Rhonda Duran
Title
Billing Manager
Phone
(352) 465-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5345 SW College Rd
Ocala, FL 34474-5717

Mailing address

5345 SW College Rd
Ocala, FL 34474-5717
Phone (844) 625-3872

National Provider Directory

National Provider Directory

Locations

5345 SW College Rd
Ocala, FL 34474
Phone (352) 671-9996

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1801261086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745717",
            "telephone_number": "844-625-3872",
            "fax_number": "352-229-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745717",
            "telephone_number": "844-625-3872",
            "fax_number": "352-229-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "352-465-5429"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.