Organization
CITRUS CARDIOLOGY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHANT NERELLA MD (PRESIDENT)
(352) 726-8353
Entity
Organization
Contact information
Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269859500
—
FL
01
—
77940
BCBS OF FL
FL
01
—
CF1416
MEDICARE RR
FL
Enumeration date
07/08/2006
Last updated
10/12/2023
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