Organization
QUINTESSENTIAL HEALTH SERVICES, INC
Active
Other names
crystal family practice
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN GOODPASTER PA-C (PRESIDENT)
(352) 794-5086
Entity
Organization
Contact information
Practice address
6152 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
(352) 794-5086
Mailing address
6152 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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