Individual
DR. IRA FIALKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6171 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 563-0220
(352) 563-0706
Mailing address
6171 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 563-0220
(352) 563-0706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS4404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100562
AVMED
FL
01
—
202840
WELLCARE HEALTHEASE
FL
01
—
82630
BCBS OF FLORIDA
FL
Enumeration date
05/04/2006
Last updated
07/09/2007
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