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Organization
IRA FIALKO DO PA
Active
Organization
IRA FIALKO DO PA
Active
Other names
Premier Pediatrics Coastal
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB EUNUS MD (OWNER)
(352) 671-6741
Entity
Organization
Contact information
Practice address
6171 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 563-0220
(352) 563-0706
Mailing address
7960 SW 60TH AVE STE 100, OCALA, FL 34476-6409
(352) 671-6741
(352) 671-6742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/14/2011
Last updated
09/02/2025
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