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Johnnie R Degraw Inc
Adult Health Nurse Practitioner in Crystal River, Florida
NPI 1700109915

Johnnie R Degraw Inc is an Adult Health Nurse Practitioner based in Crystal River, FL and is specialized in Adult Health. Johnnie R Degraw Inc practices in Crystal River, FL. The NPI Number for Johnnie R Degraw Inc is 1700109915 and holds a License No. (Florida).

The current practice location address for Johnnie R Degraw Inc is 5915 W Gulf To Lake Hwy, Crystal River, FL and can be reached out via phone at 352-794-3872 and via fax at 352-794-3876.

Location: 5915 W Gulf To Lake Hwy, Crystal River, FL, 34429-7565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700109915
Provider Name
Johnnie R Degraw Inc
Credential
Provider Entity Type
Organization
Address
5915 W Gulf To Lake Hwy, Crystal River, FL, 34429-7565
Phone Number
352-794-3872
Fax Number
352-794-3876
Provider Enumeration Date
03/03/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
5915 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7565
Phone Number
352-794-3872
Fax Number
352-794-3876
person
Provider Business Mailing Address Details
Address
5915 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7565
Phone Number
352-794-3872
Fax Number
352-794-3876
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
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 is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA2646 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
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