| Citrus County Pediatrics, Inc. | |
|
547 Se Fort Island Trl Suite C Crystal River FL 34429-8905 | |
| (352) 794-7391 | |
| (352) 794-7394 |
| Full Name | Citrus County Pediatrics, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 547 Se Fort Island Trl, Crystal River, Florida |
| Authorized Official Name and Position | Marcy Lee Howard (OWNER/ PRESIDENT) |
| Authorized Official Contact | 3527947391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus County Pediatrics, Inc. 547 Se Fort Island Trl Suite C Crystal River FL 34429-8905 Ph: (352) 794-7391 | Citrus County Pediatrics, Inc. 547 Se Fort Island Trl Suite C Crystal River FL 34429-8905 Ph: (352) 794-7391 |
| NPI Number | 1790176857 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790176857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME68113 (Florida) | Primary |
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