| Organization Name: | RURAL MEDICAL ASSOCIATES INC |
| NPI Number: | 1770570806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES WILLIAM COSNER (V.P. OPERATIONS) |
| Mailing Address: | 411 Webster St Wildwood |
| State: | FL US |
| Postal Code: | 347854036 |
| Phone Number: | 3527486689 |
| Fax Number: | 3527486381 |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |