JIM C DICKERT

CRYSTAL RIVER, FL
NPI1073695755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS0005062)
Enumeration Date2006-10-20
Last Update Date2011-01-31
Business Address
-- JIM C DICKERT DO
6199 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429-2679
Phone number: 352-795-0644
Mailing Address
-- JIM C DICKERT DO
6199 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429-2679
Phone number: 352-795-0644