Meadowcrest Family Practice PA
NPI #1831233816 in Crystal River, Florida
Provider Information
- NPI Number
- 1831233816
- Entity Type
- Organization
- Organization Name
- Meadowcrest Family Practice PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Jan 7, 2009
Practice Location
- Address
- 5915 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-7565
- Phone
- (352) 795-0644
Authorized Official
- Name
- DR. JIMMY C DICKERT, D.O.
- Title
- DIRECT OWNER
- Phone
- (352) 795-0644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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