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Organization
PRIMARY CARE & GERIATRIC CLINIC INC
Active
Organization
PRIMARY CARE & GERIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHASSAN HASAN M.D. (PRESIDENT)
(352) 794-6151
Entity
Organization
Contact information
Practice address
700 SE 5TH TER, STE 6, CRYSTAL RIVER, FL 34429-4878
(352) 794-6151
(352) 794-6138
Mailing address
700 SE 5TH TER, STE 6, CRYSTAL RIVER, FL 34429-4878
(352) 794-6151
(352) 794-6138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94778
FL
Other
Enumeration date
05/01/2012
Last updated
07/17/2012
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