CITRUS CARDIOVASCULAR ASSOCIATES PL NPI 1801839683

NPI Details

CITRUS CARDIOVASCULAR ASSOCIATES PL is a thoracic surgery cardiothoracic vascular surgery in Inverness, FL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CITRUS CARDIOVASCULAR ASSOCIATES PL NPI is 1801839683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 S CITRUS AVE
SUITE 305
INVERNESS, FL
ZIP 34452-701
Phone: (352) 637-0211
Fax: (352) 637-5733

The provider's authorized official is Treva D. Widdis .
The authorized official title is Administrator and has the following contact phone number (352) 787-9838.

The CLIA number assigned to this NPI record is 10D1098562 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 6/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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