| Citrus Medical Clinic | |
|
2484 N Essex Ave Hernando FL 34442-5321 | |
| (352) 746-1358 | |
| Not Available |
| Full Name | Citrus Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2484 N Essex Ave, Hernando, Florida |
| Authorized Official Name and Position | Chakradhar Desaraju (OWNER) |
| Authorized Official Contact | 3527956560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Medical Clinic 3600 N Grayhawk Loop Lecanto FL 34461 Ph: (352) 746-1358 | Citrus Medical Clinic 2484 N Essex Ave Hernando FL 34442-5321 Ph: (352) 746-1358 |
| NPI Number | 1649781352 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649781352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME93164 (Florida) | Primary |
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