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Organization
RURAL MEDICAL ASSOCIATES INC
Active
Organization
RURAL MEDICAL ASSOCIATES INC
Active
Other names
WILDWOOD MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM COSNER (V.P. OPERATIONS)
(352) 799-5411
Entity
Organization
Contact information
Practice address
411 WEBSTER ST, WILDWOOD, FL 34785-4036
(352) 748-6689
(352) 748-6381
Mailing address
605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
(352) 799-5411
(352) 544-2713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
FL
261QR1300X
Rural Health Clinic/Center
Primary
5025
FL
Other
Enumeration date
10/04/2005
Last updated
07/16/2008
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