Organization
CITRUS HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYANT PATEL MD (EXECUTIVE VP MEDICAL DIRECTOR)
(813) 490-8900
Entity
Organization
Contact information
Practice address
5420 BAY CENTER DR, SUITE 250, TAMPA, FL 33609-3436
(813) 490-8900
Mailing address
5420 BAY CENTER DR, SUITE 250, TAMPA, FL 33609-3436
(813) 490-8900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H5407
—
FL
Enumeration date
08/03/2006
Last updated
07/11/2008
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