# RURAL MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILDWOOD MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770570806
- **Authorized official:** MR. CHARLES WILLIAM COSNER (V.P. OPERATIONS)
- **Authorized official phone:** (352) 799-5411

## Contact information

- **Practice address:** 411 WEBSTER ST, WILDWOOD, FL 34785-4036
- **Practice address phone:** (352) 748-6689
- **Practice address fax:** (352) 748-6381
- **Mailing address:** 605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
- **Mailing address phone:** (352) 799-5411
- **Mailing address fax:** (352) 544-2713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | — |
| 261QR1300X | Rural Health Clinic/Center | 5025 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 07/16/2008