Ft Mccoy Medical Center | |
11512 E County Road 316 Ft Mccoy FL 32134-2220 | |
(352) 236-2525 | |
(352) 236-8610 |
Full Name | Ft Mccoy Medical Center |
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Speciality | Family Medicine |
Location | 11512 E County Road 316, Ft Mccoy, Florida |
Authorized Official Name and Position | George F Graves (PRESIDENT) |
Authorized Official Contact | 3522362525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ft Mccoy Medical Center 11512 E County Road 316 Po Box 2220 Fort Mc Coy FL 32134-2220 Ph: (352) 236-2525 | Ft Mccoy Medical Center 11512 E County Road 316 Ft Mccoy FL 32134-2220 Ph: (352) 236-2525 |
NPI Number | 1366604431 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
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1366604431 | NPI | - | NPPES |
049466600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS2972 (Florida) | Primary |