# CITRUS INFECTIOUS DISEASE LLC

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

## Provider details

- **NPI number:** 1861669889
- **Authorized official:** DR. GUSTINE O LIU-YOUNG MD (MANAGING MEMBER)
- **Authorized official phone:** (352) 417-0238

## Contact information

- **Practice address:** 760 SE 5TH TER, CRYSTAL RIVER, FL 34429-4852
- **Practice address phone:** (352) 417-0238
- **Practice address fax:** (352) 794-3146
- **Mailing address:** PO BOX 72, CRYSTAL RIVER, FL 34423-0072
- **Mailing address phone:** (352) 417-0238
- **Mailing address fax:** (352) 794-3146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME100412 | FL | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 07/21/2022