Provider Demographics
NPI:1033181615
Name:CITRUS UROLOGY ASSOCIATES P A
Entity Type:Organization
Organization Name:CITRUS UROLOGY ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-726-9707
Mailing Address - Street 1:609 W HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4638
Mailing Address - Country:US
Mailing Address - Phone:352-726-9707
Mailing Address - Fax:352-726-8763
Practice Address - Street 1:609 W HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4638
Practice Address - Country:US
Practice Address - Phone:352-726-9707
Practice Address - Fax:352-726-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10D0272496208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060476300Medicaid
FL98224OtherBLUE CROSS BLUE SHEILD
FLCB1945OtherRAILROAD MEDICARE
FL98224Medicare PIN