Cacodcar, Surexa S
Cacodcar, Surexa S is an individual health care provider with primary practice located at 3310 Sw 34Th St , Ocala FL 34474-7422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cacodcar, Surexa S can be contacted via phone (352) 387-3159.Contact Information
Primary practice address
3310 Sw 34Th St
Ocala FL 34474-7422
Phone: (352) 387-3159
Fax: (352) 873-1095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME81642 | Florida |
Profile Details
| NPI number | 1104826684 |
|---|---|
| LBN Legal business name | Cacodcar, Surexa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Dec 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104826684 | NPPES |
| Florida | MEDICAID | 262257200 |
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