Sicknwell Medical Group, PA
NPI #1760962005 in Crystal River, Florida
Provider Information
- NPI Number
- 1760962005
- Entity Type
- Organization
- Organization Name
- Sicknwell Medical Group, PA
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 6405 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-9354
- Phone
- (352) 527-6888
Authorized Official
- Name
- DACELIN ST MARTIN, MD
- Title
- MEDICAL DIRECTOR / OWNER
- Phone
- (352) 563-0935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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