# MEADOWCREST HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEADOWCREST FAMILY PHYSICIANS, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669238325
- **Legal business name:** MEADOWCREST FAMILY PHYSICIANS, P.A.
- **Authorized official:** DR. RYAN DICKERT MD (OWNER)
- **Authorized official phone:** (352) 795-0644

## Contact information

- **Practice address:** 512 N LECANTO HWY, LECANTO, FL 34461-8547
- **Practice address phone:** (352) 795-0644
- **Mailing address:** 1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL 34429-5736
- **Mailing address phone:** (352) 795-0644
- **Mailing address fax:** (352) 795-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024