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Organization
CRYSTAL RIVER ENDOSCOPY ASC LP
Active
Organization
CRYSTAL RIVER ENDOSCOPY ASC LP
Active
Other names
Citrus Endoscopy & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
6412 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7622
(352) 563-0223
(352) 563-2961
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079167900
—
FL
Enumeration date
02/02/2006
Last updated
10/31/2022
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