Organization
CLINICAL PET OF CITRUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANESH D ARORA (PRESIDENT)
(352) 494-6142
Entity
Organization
Contact information
Practice address
6140 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
(352) 795-0847
(352) 795-7843
Mailing address
PO BOX 773029, OCALA, FL 34477-3029
(352) 795-0847
(352) 795-7843
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2639
BCBS
FL
Enumeration date
08/30/2005
Last updated
06/09/2008
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