Crystal River Primary Care | |
1218 Se 5th Ave Crystal River FL 34429-4929 | |
(443) 844-4275 | |
Not Available |
Full Name | Crystal River Primary Care |
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Speciality | Clinic/center - Rural Health |
Location | 1218 Se 5th Ave, Crystal River, Florida |
Authorized Official Name and Position | Donald Hoyt Pritchard (OWNER) |
Authorized Official Contact | 4438444275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crystal River Primary Care 1218 Se 5th Ave Crystal River FL 34429-4929 Ph: (443) 844-4275 | Crystal River Primary Care 1218 Se 5th Ave Crystal River FL 34429-4929 Ph: (443) 844-4275 |
NPI Number | 1699901975 |
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Provider Enumeration Date | 06/01/2009 |
Last Update Date | 06/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699901975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | ME65084 (Florida) | Primary |
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