| Tri County Medical Center LLC | |
|
155 Se Us Highway 19 Crystal River FL 34429-4838 | |
| (352) 228-4938 | |
| (352) 228-8041 |
| Full Name | Tri County Medical Center LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Se Us Highway 19, Crystal River, Florida |
| Authorized Official Name and Position | Ernest Scriven (ADMINISTRATOR) |
| Authorized Official Contact | 3523020756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Center LLC 155 Se Us Highway 19 Crystal River FL 34429-4838 Ph: (352) 228-4938 | Tri County Medical Center LLC 155 Se Us Highway 19 Crystal River FL 34429-4838 Ph: (352) 228-4938 |
| NPI Number | 1124688411 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 09/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124688411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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