| Kings Bay Family Care Pa | |
|
9030 W Fort Island Trl Suite 1 Crystal River FL 34429-2412 | |
| (352) 795-2273 | |
| (352) 795-2296 |
| Full Name | Kings Bay Family Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9030 W Fort Island Trl, Crystal River, Florida |
| Authorized Official Name and Position | Michael B Mueller (PRESIDENT) |
| Authorized Official Contact | 3527952273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Bay Family Care Pa 14690 Spring Hill Dr Suite 101 Spring Hill FL 34609-8102 Ph: (352) 795-2273 | Kings Bay Family Care Pa 9030 W Fort Island Trl Suite 1 Crystal River FL 34429-2412 Ph: (352) 795-2273 |
| NPI Number | 1649218694 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649218694 | NPI | - | NPPES |
| DS4782 | Other | FL | RAILROAD MEDICARE |
| 46431 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7801 (Florida) | Primary |
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Hospitalists Of Citrus County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-601-2375 Fax: 813-200-3667 | |
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