| NPI | 1033837307 |
|---|---|
| Doing Business As | CITRUS CRYSTAL RIVER |
| Entity Type | Organization |
| Authorized Contact | BRIAN BRANHAM VP Of Finance & Sales 321-221-0658 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |