MULLALLY HOLDINGS PLC (NPI# 1518030311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518030311 |
| Entity Type | Organization |
| Organization Name | MULLALLY HOLDINGS PLC |
| Practice Address |
11515 W Emerald Oaks Dr Crystal River FL 34428-2815 |
| Practice Telephone | 3527943862 |
| Practice Fax Number | 3527943844 |
| Mailing Telephone | 3527943862 |
| Mailing Fax Number | 3527943844 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | DR. BRIAN ANDREW MULLALLY SR. (OWNER) |
| Authorized Official Telephone | 3527943862 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME104121 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
11515 W EMERALD OAKS DR |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34428-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115729 | Cynthia Quintana | Audiologist | 11515 W Emerald Oaks Dr, Crystal River, FL 34428-2815 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1104262302 | Cedar Creek At Kings Bay, Inc | Assisted Living Facility | 231 Nw Hwy 19, Crystal River, FL 34428 | 2013-05-14 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1871816256 | Alexis R Bergan-guzman | Chiropractor | 116 Nw 5th Street, Crystal River, FL 34428 | 2010-03-12 |
| 1679707889 | Elizabeth Davis Mazzeo | Social Worker | 708 Ne 6th St, Crystal River, FL 34428 | 2009-05-04 |
| 1134136583 | Robert Matthew Berger | Anesthesiology | 6201 Suncoast Blvd, C/o Seven Rivers Regional, Crystal River, FL 34428 | 2006-08-01 |
| 1740211879 | K Mart Corp | Pharmacy | 1801 Northwest Hwy 19, Crystal River, FL 34428 | 2006-07-06 |
| 1174566434 | James T Stiles | Nurse Anesthetist, Certified Registered | 257 Ne Crystal St, Crystal River, FL 34428 | 2006-06-14 |
| Find all providers in zip 34428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1306231212 | Ryan Spencer Dickert | Family Medicine | 1250 N Vantage Point Dr, Crystal River, FL 34429-5736 | 2015-03-30 |
| 1356656813 | Absolute Medical Services, Pa | Family Medicine | 521 Se Fort Island Trl, Suite E, Crystal River, FL 34429-8904 | 2010-08-09 |
| 1003041419 | Rolf Lyon Urgent Care LLC | Family Medicine | 155 Se Highway 19, Crystal River, FL 34429-4838 | 2009-05-29 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| 1043398266 | Rolf C Lyon | Family Medicine | 155 S.e. Hwy 19, Crystal River, FL 34429-4838 | 2006-11-02 |
| 1073695755 | Jim C Dickert | Family Medicine | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 | 2006-10-20 |
| 1821109455 | David Irvine | Family Medicine | 700 Se 5th Ter Ste 7, Crystal River, FL 34429-4876 | 2006-08-31 |
| 1346283041 | James Arthur Derrenbacker II | Family Medicine | 1669 S. E. Highway 19 Seven Rivers Rehab & Wound Center, Crystal River, FL 34429 | 2006-06-13 |
| 1144216789 | Sandra L Brown | Family Medicine | 700 Se 5th Ter, Suite 5, Crystal River, FL 34429-4878 | 2005-09-20 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
Please comment or provide details below to improve the information on MULLALLY HOLDINGS PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.