# SEVEN RIVERS ORTHOPAEDIC & SPORTS MEDICINE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306172259
- **Authorized official:** DELORES WHITE D.O. (PRESIDENT)
- **Authorized official phone:** (352) 249-7080

## Contact information

- **Practice address:** 10495 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
- **Practice address phone:** (352) 465-5663
- **Practice address fax:** (352) 465-5664
- **Mailing address:** PO BOX 640573, BEVERLY HILLS, FL 34464-0573
- **Mailing address phone:** (352) 465-5663
- **Mailing address fax:** (352) 465-5664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 10/28/2009
