| Crystal Family Practice | |
|
6152 W Corporate Oaks Dr Crystal River FL 34429-8722 | |
| (352) 794-5086 | |
| Not Available |
| Full Name | Crystal Family Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6152 W Corporate Oaks Dr, Crystal River, Florida |
| Authorized Official Name and Position | Dawn Goodpaster (PRESIDENT) |
| Authorized Official Contact | 3527945086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Family Practice 6152 W Corporate Oaks Dr Crystal River FL 34429-8722 Ph: () - | Crystal Family Practice 6152 W Corporate Oaks Dr Crystal River FL 34429-8722 Ph: (352) 794-5086 |
| NPI Number | 1184643223 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184643223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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