Organization
CITRUS HMA LLC
Active
Other names
Bravera Health Seven Rivers
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-8383
Mailing address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-8383
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011998900
—
FL
01
—
577
BLUE CROSS
FL
Enumeration date
06/14/2006
Last updated
12/14/2021
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