John R Degraw in Crystal River - Family Medicine
John R Degraw - NPI 1992736672
John R Degraw is a Family Medicine in Crystal River, Florida. John R Degraw practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John R Degraw is 1992736672. The last update date is 2020-10-01.
John R Degraw's current location address is 5915 W Gulf To Lake Hwy, Crystal River, Florida. You can contact this provider via phone number 3527943872 and fax number 3527943876. The mailing address for John R Degraw is 5915 W Gulf To Lake Hwy, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Degraw |
|---|---|
| Address | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
| Phone Number | 3527943872 |
| Fax Number | 3527943876 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992736672 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 5915 W Gulf To Lake Hwy |
|---|---|
| City | Crystal River |
| State | Florida (FL) |
| Post Code | 344297565 |
| Phone Number | 3527943872 |
| Fax Number | 3527943876 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME0048978 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02120A | FL | BCBS | |
| 208262765 | FL | TAX ID | |
| 6450130001 | FL | DMERC | |
| P00473712 | FL | RAILROAD MEDICARE | |
| 274574700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John R Degraw by the Centers for Medicare & Medicaid Services?
The John R Degraw has been issued the NPI (National Provider Identifier) 1992736672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John R Degraw located?
The John R Degraw is located at 5915 W Gulf To Lake Hwy, Crystal River, FL 344297565.
What is the area of specialization for John R Degraw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John R Degraw is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the John R Degraw receive the assignment of its 1992736672 from the Centers for Medicare & Medicaid Services?
The John R Degraw was issued its 1992736672 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to John R Degraw most recently updated or revised?
The information pertaining to John R Degraw, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-01.