# IRA FIALKO DO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Pediatrics Coastal
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770865917
- **Authorized official:** SHAHAB EUNUS MD (OWNER)
- **Authorized official phone:** (352) 671-6741

## Contact information

- **Practice address:** 6171 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
- **Practice address phone:** (352) 563-0220
- **Practice address fax:** (352) 563-0706
- **Mailing address:** 7960 SW 60TH AVE STE 100, OCALA, FL 34476-6409
- **Mailing address phone:** (352) 671-6741
- **Mailing address fax:** (352) 671-6742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/02/2025