# PLANTATION MEDICAL CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497255814
- **Authorized official:** ADRIANNE ASHMORE HESS (OFFICE MANAGER)
- **Authorized official phone:** (352) 651-5127

## Contact information

- **Practice address:** 9030 W FORT ISLAND TRL STE 11B, CRYSTAL RIVER, FL 34429
- **Practice address phone:** (352) 651-5127
- **Practice address fax:** (352) 651-5129
- **Mailing address:** 9030 W FORT ISLAND TRL STE 11B, CRYSTAL RIVER, FL 34429-2415
- **Mailing address phone:** (352) 651-5127
- **Mailing address fax:** (352) 651-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | OS-0004310 | FL | Yes |
| 261QP2300X | Primary Care Clinic/Center | OS4310 | FL | — |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 06/21/2018
