| Gaps | |
|
6405 W Gulf To Lake Hwy Crystal River FL 34429-9354 | |
| (352) 684-8736 | |
| Not Available |
| Full Name | Gaps |
|---|---|
| Speciality | Internal Medicine |
| Location | 6405 W Gulf To Lake Hwy, Crystal River, Florida |
| Authorized Official Name and Position | Dacelin St. Martin (PROVIDER) |
| Authorized Official Contact | 3526848736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaps Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 684-8736 | Gaps 6405 W Gulf To Lake Hwy Crystal River FL 34429-9354 Ph: (352) 684-8736 |
| NPI Number | 1104520717 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104520717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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Tgh Crystal River Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Us Highway 19 Ste 1669, Crystal River, FL 34429 Phone: 352-563-2407 |
Hospitalists of Citrus County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-601-2375 Fax: 813-200-3667 |
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