Provider Demographics
NPI:1376859579
Name:COMPREHENSIVE WOMEN'S HEALTHCARE OF CITRUS COUNTY, PLC
Entity Type:Organization
Organization Name:COMPREHENSIVE WOMEN'S HEALTHCARE OF CITRUS COUNTY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-794-6060
Mailing Address - Street 1:11521 W EMERALD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-2815
Mailing Address - Country:US
Mailing Address - Phone:352-794-6060
Mailing Address - Fax:352-794-6061
Practice Address - Street 1:11521 W EMERALD OAKS DR
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-2815
Practice Address - Country:US
Practice Address - Phone:352-794-6060
Practice Address - Fax:352-794-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1376859579OtherNPI
FLEP551AMedicare PIN