Johnnie R Degraw Inc

LBN: Johnnie R Degraw Inc
Johnnie R Degraw Inc is an health care organization with primary practice located at 5915 W Gulf To Lake Hwy , Crystal River FL 34429-7565. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Johnnie R Degraw Inc can be contacted via phone (352) 794-3872, or through Degraw, Johnnie R via phone (352) 794-3872.

Contact Information

Primary practice address
5915 W Gulf To Lake Hwy Crystal River FL 34429-7565
Phone: (352) 794-3872
Fax: (352) 794-3876
Website:
Map and Directions
Authorized official contact:
Name: Degraw, Johnnie R Doctor of Medicine (MD)
Phone: (352) 794-3872

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2646 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1700109915
LBN Legal business name Johnnie R Degraw Inc
DBA Doing business as
Authorized official Degraw, Johnnie R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2010
Last updated Oct 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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