Organization
CITRUS UROLOGY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES K CARTWRIGHT M.D. (DIRECTOR)
(352) 742-2201
Entity
Organization
Contact information
Practice address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 742-2201
(352) 742-2226
Mailing address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 742-2201
(352) 742-2226
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10D1018775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604763000
—
FL
01
—
98224
BLUE CROSS BLUE SHEILD
FL
01
—
DA4769
RAILROAD MEDICARE
FL
Enumeration date
02/07/2006
Last updated
08/15/2008
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