Organization
SEVEN RIVERS ORTHOPAEDIC & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES WHITE D.O. (PRESIDENT)
(352) 249-7080
Entity
Organization
Contact information
Practice address
10495 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
(352) 465-5663
(352) 465-5664
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 465-5663
(352) 465-5664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4111270
BCBS TN
TN
Enumeration date
10/28/2009
Last updated
10/28/2009
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