Tri County Medical Center Llc | |
155 Se Us Highway 19 Crystal River FL 34429-4838 | |
(352) 228-4938 | |
(352) 228-8041 |
Full Name | Tri County Medical Center Llc |
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Speciality | Internal Medicine |
Location | 155 Se Us Highway 19, Crystal River, Florida |
Authorized Official Name and Position | Ernest Scriven (ADMINISTRATOR) |
Authorized Official Contact | 3523020756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri County Medical Center Llc 155 Se Us Highway 19 Crystal River FL 34429-4838 Ph: (352) 228-4938 | Tri County Medical Center Llc 155 Se Us Highway 19 Crystal River FL 34429-4838 Ph: (352) 228-4938 |
NPI Number | 1124688411 |
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Provider Enumeration Date | 06/18/2019 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
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1124688411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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