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Organization
MEDCOY INC
Active
Organization
MEDCOY INC
Active
Other names
Ft McCoy Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F GRAVES D.O (PRESIDENT)
(352) 236-2525
Entity
Organization
Contact information
Practice address
11512 E COUNTY ROAD 316, FT MCCOY, FL 32134-2220
(352) 236-2525
(352) 236-8610
Mailing address
11512 E COUNTY ROAD 316, PO BOX 2220, FORT MC COY, FL 32134-2220
(352) 236-2525
(325) 236-8610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS2972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049466600
—
FL
Enumeration date
06/30/2008
Last updated
09/09/2008
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