Organization
CITRUS UROLOGY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARESH DESAI M.D. (VICE PRESIDENT)
(352) 628-7671
Entity
Organization
Contact information
Practice address
3475 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2322
(352) 628-7671
(352) 628-9893
Mailing address
PO BOX 3087, HOMOSASSA SPRINGS, FL 34447-3087
(352) 628-7671
(352) 628-9893
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10D0272423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060476301
—
FL
01
—
98224
BLUE CROSS BLUE SHEILD
FL
01
—
CI4845
RAILROAD MEDICARE
FL
Enumeration date
02/07/2006
Last updated
08/15/2008
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