Organization
CITRUS INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTINE O LIU-YOUNG MD (MANAGING MEMBER)
(352) 417-0238
Entity
Organization
Contact information
Practice address
760 SE 5TH TER, CRYSTAL RIVER, FL 34429-4852
(352) 417-0238
(352) 794-3146
Mailing address
PO BOX 72, CRYSTAL RIVER, FL 34423-0072
(352) 417-0238
(352) 794-3146
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME100412
FL
Other
Enumeration date
05/08/2008
Last updated
07/21/2022
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