Organization
CITRUS SPINE INSTITUTE LLC
Active
Organization
CITRUS SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE A TOUMBIS MD, PHD (OWNER)
(352) 794-6868
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE STE 9F, ORANGE PARK, FL 32073-4579
(904) 579-3448
(904) 375-1761
Mailing address
6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-8721
(352) 794-6868
(352) 794-6869
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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