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Contact Information

INTERNAL MEDICINE & PEDIATRICS WELLNESS CENTER
6038 W. NORDLING LOOP
CRYSTAL RIVER, FL34429
 Phone: 352-795-2459
 Fax: 352-795-4322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE PEDIATRICS WELLNESS CENTER · (Female)

NPI # 1992825145
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2007
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME93743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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