Kings Bay Family Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7801 Issued in FL

Legal business name

KINGS BAY FAMILY CARE PA

Practice address

9030 W Fort Island TRL
Suite 1
Crystal River, FL 34429-2412

Phone

(352) 795-2273

Fax

(352) 795-2296

NPI assigned

Jun 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael B Mueller, D.O.

Title

President

Phone

(352) 795-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1649218694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR",
            "address_2": "SUITE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-795-2273",
            "fax_number": "352-795-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "SUITE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-795-2273",
            "fax_number": "352-795-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS BAY FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-2273",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS4782",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Michelle Kirschenpfad, OTR/L
• Janaki S Koka, MD
• Maryanne L Kolar, D.O.
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• David Kreinbrook, D.C.

• Family Medicine Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.