| Sicknwell Medical Group, Pa | |
|
6405 W Gulf To Lake Hwy Crystal River FL 34429-9354 | |
| (352) 527-6888 | |
| (352) 527-8818 |
| Full Name | Sicknwell Medical Group, Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6405 W Gulf To Lake Hwy, Crystal River, Florida |
| Authorized Official Name and Position | Dacelin St Martin (MEDICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 3525630935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sicknwell Medical Group, Pa Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 563-0931 | Sicknwell Medical Group, Pa 6405 W Gulf To Lake Hwy Crystal River FL 34429-9354 Ph: (352) 527-6888 |
| NPI Number | 1760962005 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760962005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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