| Mullally Holdings Plc | |
|
11515 W Emerald Oaks Dr Crystal River FL 34428-2815 | |
| (352) 794-3862 | |
| (352) 794-3844 |
| Full Name | Mullally Holdings Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 11515 W Emerald Oaks Dr, Crystal River, Florida |
| Authorized Official Name and Position | Brian Andrew Mullally (OWNER) |
| Authorized Official Contact | 3527943862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mullally Holdings Plc 11515 W Emerald Oaks Dr Crystal River FL 34428-2815 Ph: (352) 794-3862 | Mullally Holdings Plc 11515 W Emerald Oaks Dr Crystal River FL 34428-2815 Ph: (352) 794-3862 |
| NPI Number | 1518030311 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518030311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME104121 (Florida) | Primary |
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