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Organization
CITRUS ORAL AND FACIAL SURGERY AT OCALA, LLC
Active
Organization
CITRUS ORAL AND FACIAL SURGERY AT OCALA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY C BLOMBERG (OFFICE MANAGER)
(522) 509-6500
Entity
Organization
Contact information
Practice address
6129 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8732
(352) 795-4994
(352) 795-4609
Mailing address
2611 SE 17TH ST STE A, OCALA, FL 34471-5587
(352) 509-6500
(352) 509-6556
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17708
FL
Other
Enumeration date
04/17/2018
Last updated
06/21/2023
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