Organization
CITRUS SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE ANDREW TOUMBIS MD, PHD (OWNER)
(352) 257-3391
Entity
Organization
Contact information
Practice address
6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-8721
(352) 794-6868
(352) 794-6869
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
ME80012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269693200
—
FL
Enumeration date
09/03/2015
Last updated
09/03/2015
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