NPI 1144376658

Health & Wellcare Services of Florida, INC.

Organisation Family Medicine Physician Crystal River, FL

Practice location

Address: 5915 W Gulf to Lake Hwy, Crystal River, FL 34429-7565
Phone: (352) 794-3872
Fax: (352) 794-3876

Authorised official

Name: Johnnie R Degraw
Title: President
Phone: (352) 794-3872

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME0048978 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1144376658
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 14 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.