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1275610362
COUNTRYSIDE MEDICAL PA
OCALA, FL
NPI
1275610362
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Entity Type
Organization
Authorized Contact
KENNETH BARUCH LEE
Owner President
352-873-4458
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-11-01
Last Update Date
2023-09-01
Business Address
COUNTRYSIDE MEDICAL PA
7860 SW 103RD STREET RD BLDG 100 SUITE 101
OCALA, FL 34476-8623
Phone number: 352-873-4458
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Mailing Address
COUNTRYSIDE MEDICAL PA
PO BOX 770719
OCALA, FL 34477-0719
Phone number: 352-873-4458
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