| |
3475 S Suncoast Blvd, Homosassa, FL 34448-2322 | |
(352) 765-2010 | |
(352) 765-2017 |
Full Name | |
---|---|
Type | Facility |
Speciality | Surgery |
Location | 3475 S Suncoast Blvd, Homosassa, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942960786 | NPI | - | NPPES |
PENDING | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 465-7211 | 3475 S Suncoast Blvd, Homosassa, FL 34448-2322 Ph: (352) 765-2010 |