Individual
DR. ALEX JONATHAN DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6199 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 795-0644
(352) 795-5950
Mailing address
6199 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 795-0644
(352) 795-5950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME113997
FL
Other
Enumeration date
06/09/2011
Last updated
07/24/2014
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