Organization · Type 2 NPI
Plantation Medical Care, PA
Adult Medicine Physician · Crystal River, FL
NPI number
1497255814
Active
Practice location
9030 W Fort Island Trl Ste 11B
Crystal River, FL 34429
Fax (352) 651-5129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | OS-0004310 (FL) |
| Primary Care Clinic/Center | 261QP2300X | OS4310 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Crystal River
About NPI 1497255814
Plantation Medical Care, PA's National Provider Identifier is 1497255814, issued on Feb 13, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Crystal River, FL. The record was last updated on Jun 21, 2018.