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Organization

PLANTATION MEDICAL CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIANNE ASHMORE HESS (OFFICE MANAGER)
(352) 651-5127
Entity
Organization

Contact information

Practice address
9030 W FORT ISLAND TRL STE 11B, CRYSTAL RIVER, FL 34429
(352) 651-5127
(352) 651-5129
Mailing address
9030 W FORT ISLAND TRL STE 11B, CRYSTAL RIVER, FL 34429-2415
(352) 651-5127
(352) 651-5129

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS-0004310
FL
261QP2300X
Primary Care Clinic/Center
OS4310
FL

Other

Enumeration date
02/13/2018
Last updated
06/21/2018
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