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NPI 1164731626 · Exclusive Provider Organization · Ocala, FL
Provider details
- NPI number
- 1164731626
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Niatikqua Green, Owner(352) 401-7662
- License
- 000453000 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
948 N W 58th Court
Ocala, FL 34482
Phone: (352) 401-7662
Fax: (352) 622-6315
Street-level locationGet directions
Mailing address
948 Nw 58th Ct
Ocala, FL 34482-5186
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2010-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.