Organization
CITRUS COUNTY RURAL HEALTH INC
Active
Parent organization
CITRUS COUNTY RURAL HEALTH, INC
Other names
CCRH - Gator Lane Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITRUS COUNTY RURAL HEALTH, INC
Authorized official
TARIQ A MUHAMMAD (CEO)
(312) 523-5180
Entity
Organization
Contact information
Practice address
20360 GATOR LN, LAND O LAKES, FL 34638-2802
(352) 565-7342
Mailing address
927 N CITRUS AVE, CRYSTAL RIVER, FL 34428-3422
(352) 404-5588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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