Primary Care & Geriatric Clinic INC
NPI #1962760686 in Crystal River, Florida
Provider Information
- NPI Number
- 1962760686
- Entity Type
- Organization
- Organization Name
- Primary Care & Geriatric Clinic INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 1, 2012
- Last Updated
- Jul 17, 2012
Practice Location
- Address
- 700 SE 5TH TER
- Address 2
- STE 6
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4878
- Phone
- (352) 794-6151
Authorized Official
- Name
- DR. GHASSAN HASAN, M.D.
- Title
- PRESIDENT
- Phone
- (352) 794-6151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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