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 |
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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 |
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Provider Enumeration Date | 2007-01-30 |
Last Updated Date | 2011-03-15 |
Provider Mailing Address Detail
Address | Po Box 1990 |
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City | Crystal River |
State | Florida (FL) |
Post Code | 344231990 |
Phone Number | 3527462663 |
Fax Number | 3527466907 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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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 |
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292891400 | FL | -- |
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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.