John O Grooms in Crystal River - Surgical

John O Grooms - NPI 1962549097

John O Grooms is a Surgical in Crystal River, Florida. John O Grooms practices all healthcare services and medical treatments related to Surgical. The NPI Number for John O Grooms is 1962549097. The last update date is 2011-03-15.

John O Grooms's current location address is Po Box 1990, Crystal River, Florida. You can contact this provider via phone number 3527462663 and fax number 3527466907. The mailing address for John O Grooms is Po Box 1990, Crystal River, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John O Grooms
Address Po Box 1990, Crystal River, Florida
Phone Number 3527462663
Fax Number 3527466907
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1962549097
Provider Enumeration Date 2007-01-30
Last Updated Date 2011-03-15

Provider Mailing Address Detail

Address Po Box 1990
City Crystal River
State Florida (FL)
Post Code 344231990
Phone Number 3527462663
Fax Number 3527466907

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA3291
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
292891400 FL --

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FAQs about John O Grooms

What is the unique 10-digit identification code issued to John O Grooms by the Centers for Medicare & Medicaid Services?

The John O Grooms has been assigned the NPI (National Provider Identifier) 1962549097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of John O Grooms?

The John O Grooms is situated at Po Box 1990, in the city of Crystal River, state of FL, with the zip code 344231990.

What is John O Grooms's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John O Grooms is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.

On what date did John O Grooms receive its 1962549097 assignment from the Centers for Medicare & Medicaid Services?

The John O Grooms was assigned its 1962549097 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding John O Grooms, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John O Grooms, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-15.

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