Organization
CITRUS SPECIALTY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT/AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
403 W HIGHLAND BLVD, INVERNESS, FL 34452-4717
(352) 726-3646
(352) 726-0079
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
10/21/2020
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