Johnnie R Degraw Inc | |
5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 | |
(352) 794-3872 | |
(352) 794-3876 |
Full Name | Johnnie R Degraw Inc |
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Speciality | Family Medicine |
Location | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
Authorized Official Name and Position | Johnnie R Degraw (OWNER) |
Authorized Official Contact | 3527943872 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnnie R Degraw Inc 5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 Ph: (352) 794-3872 | Johnnie R Degraw Inc 5915 W Gulf To Lake Hwy Crystal River FL 34429-7565 Ph: (352) 794-3872 |
NPI Number | 1700109915 |
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Provider Enumeration Date | 03/03/2010 |
Last Update Date | 10/01/2020 |
Identifier | Type | State | Issuer |
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1700109915 | NPI | - | NPPES |
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