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Organization
NATURE COAST MEDICAL GROUP PA
Active
Organization
NATURE COAST MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L MCCOY D.O. (PRESIDENT)
(352) 528-5801
Entity
Organization
Contact information
Practice address
130 SW 7TH ST, WILLISTON, FL 32696-2404
(352) 528-5801
(352) 528-6019
Mailing address
130 SW 7TH ST, WILLISTON, FL 32696-2404
(352) 528-5801
(352) 528-6019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0011887
FL
207R00000X
Internal Medicine Physician
OS0005395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043550300
—
FL
05
—
049437203
—
FL
01
—
68-3803
MEDICARE RURAL HEALTH CLINIC
FL
Enumeration date
01/11/2007
Last updated
07/02/2014
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