Organization
TAMPA GENERAL HOSPITAL CITRUS LLC
Active
Other names
Tampa General Hospital Crystal River
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RUNYON (EVP CHIEF FINANCIAL OFCR FHSC)
(813) 844-4805
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
(352) 795-8369
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
12/17/2025
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