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Organization
CITRUS HMA INC
Active
Organization
CITRUS HMA INC
Active
Other names
Seven Rivers Regional Medical Center Rehab Unit
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
Mailing address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
4116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011998900
—
FL
01
—
291585
AVMED
FL
01
—
577
BLUE CROSS FLORIDA
FL
Enumeration date
01/12/2009
Last updated
04/28/2021
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