| Medcoy Inc | |
|
11512 E County Road 316 Ft Mccoy FL 32134-2220 | |
| (352) 236-2525 | |
| (352) 236-8610 |
| Full Name | Medcoy Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11512 E County Road 316, Ft Mccoy, Florida |
| Authorized Official Name and Position | George F Graves (PRESIDENT) |
| Authorized Official Contact | 3522362525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcoy Inc 11512 E County Road 316 Po Box 2220 Fort Mc Coy FL 32134-2220 Ph: (352) 236-2525 | Medcoy Inc 11512 E County Road 316 Ft Mccoy FL 32134-2220 Ph: (352) 236-2525 |
| NPI Number | 1366604431 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366604431 | NPI | - | NPPES |
| 049466600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS2972 (Florida) | Primary |