| Alistair Co, Pllc | |
|
6201 N Suncoast Blvd Crystal River FL 34428-6712 | |
| (810) 406-7175 | |
| Not Available |
| Full Name | Alistair Co, Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 6201 N Suncoast Blvd, Crystal River, Florida |
| Authorized Official Name and Position | Alistair Co (OWNER) |
| Authorized Official Contact | 8104067175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alistair Co, Pllc 1679 W Spring Meadow Loop Lecanto FL 34461-7687 Ph: (810) 406-7175 | Alistair Co, Pllc 6201 N Suncoast Blvd Crystal River FL 34428-6712 Ph: (810) 406-7175 |
| NPI Number | 1366817512 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 12/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366817512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME110427 (Florida) | Primary |
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