Organization
MEADOWCREST HEALTHCARE SERVICES LLC
Active
Parent organization
MEADOWCREST FAMILY PHYSICIANS, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEADOWCREST FAMILY PHYSICIANS, P.A.
Authorized official
DR. RYAN DICKERT MD (OWNER)
(352) 795-0644
Entity
Organization
Contact information
Practice address
512 N LECANTO HWY, LECANTO, FL 34461-8547
(352) 795-0644
Mailing address
1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL 34429-5736
(352) 795-0644
(352) 795-5950
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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