Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Countryside Medical PA

Organization Internal Medicine Physician · NPI 1275610362

Countryside Medical PA is an Internal Medicine Physician in Ocala, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7860 SW 103rd Street Rd Bldg 100 Ste 101
Ocala, FL 34476-8623
Phone: (352) 873-4458
Fax: (352) 873-8116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1275610362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Lee — Owner President · (352) 873-4458
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing addressPo Box 770719, Ocala, FL 34477-0719

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