MEDICARE: DR. ALISTAIR C CO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301092319	MI
2	207Q00000X	Family Medicine Physician	ME110427	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194971028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISTAIR C CO MD

Provider Business Mailing Address
First Line	:	1407 E ALLEGRIE DR
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34453-3658
Country	:	US
Telephone Number	:	352-352-1388
Fax Number	:	352-645-2832

Provider Business Practice Location Address
First Line	:	700 SE 5TH TER STE 2
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-4865
Country	:	US
Telephone Number	:	352-352-1388
Fax Number	:	352-645-2832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	01/29/2024

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Directions to “ DR. ALISTAIR C CO MD” Practice Location

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