Organization
ALISTAIR CO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISTAIR CO M.D. (OWNER)
(810) 406-7175
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(810) 406-7175
Mailing address
1679 W SPRING MEADOW LOOP, LECANTO, FL 34461-7687
(810) 406-7175
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME110427
FL
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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