JOHNNIE R DEGRAW INC NPI 1700109915

NPI Information

  • NPI: 1700109915
  • Provider Name: JOHNNIE R DEGRAW INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5915 W GULF TO LAKE HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 794-3872

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NPI Details

JOHNNIE R DEGRAW INC is a family medicine in Crystal River, FL. The provider is 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. JOHNNIE R DEGRAW INC NPI is 1700109915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5915 W GULF TO LAKE HWY
CRYSTAL RIVER, FL
ZIP 34429-565
Phone: (352) 794-3872
Fax: (352) 794-3876

The provider's authorized official is Johnnie R Degraw .
The authorized official title is Owner and has the following contact phone number (352) 794-3872.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA2646FLORIDANo
2363LA2200XNurse PractitionerAdult HealthNo
3207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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