John W Grace MD PA
NPI #1891982294 in Crystal River, Florida
Provider Information
- NPI Number
- 1891982294
- Entity Type
- Organization
- Organization Name
- John W Grace MD PA
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Sep 29, 2007
- Last Updated
- Sep 30, 2011
Practice Location
- Address
- 6226 W CORPORATE OAKS DR
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-8723
- Phone
- (352) 795-2246
Authorized Official
- Name
- DR. JOHN WILLARD GRACE III, M.D.
- Title
- PRESIDENT
- Phone
- (352) 795-2246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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