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Organization

MEADOWCREST HEALTHCARE SERVICES LLC

Active
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Organization

MEADOWCREST HEALTHCARE SERVICES LLC

Active
Parent organization
MEADOWCREST FAMILY PHYSICIANS, P.A.
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
04/25/2024
Last updated
04/25/2024
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