Provider Demographics
NPI:1679154561
Name:THE INFUSION CLINIC OF OCALA, LLC
Entity type:Organization
Organization Name:THE INFUSION CLINIC OF OCALA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MILBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-325-5755
Mailing Address - Street 1:3977 SE 40TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-4961
Mailing Address - Country:US
Mailing Address - Phone:352-304-3201
Mailing Address - Fax:352-354-4630
Practice Address - Street 1:2801 SE 1ST AVE STE 201
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0478
Practice Address - Country:US
Practice Address - Phone:352-325-5755
Practice Address - Fax:352-415-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty