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Organization

FLORIDA DEPARTMENT OF HEALTH CITRUS COUNTY HEALTH DEPARTMENT

Active
Other names
Citrus County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERESA GOODMAN PHD, A.R.N.P. (ADMINISTRATOR)
(352) 527-0068
Entity
Organization

Contact information

Practice address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
(352) 527-8858
Mailing address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
(352) 527-8858

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027919600
FL
05
027919601
FL
Enumeration date
04/01/2009
Last updated
04/01/2009
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