Johnnie R Degraw INC
NPI #1700109915 in Crystal River, Florida
Provider Information
- NPI Number
- 1700109915
- Entity Type
- Organization
- Organization Name
- Johnnie R Degraw INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 3, 2010
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 5915 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-7565
- Phone
- (352) 794-3872
Authorized Official
- Name
- JOHNNIE R DEGRAW, MD
- Title
- OWNER
- Phone
- (352) 794-3872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Adult Health — Adult Health |
| Family Medicine |
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