Healthcare Provider Details

I. General information

NPI: 1043315377
Provider Name (Legal Business Name): CITRUS HILLS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2484 N ESSEX AVE
HERNANDO FL
34442
US

IV. Provider business mailing address

2484 N ESSEX AVE
HERNANDO FL
34442
US

V. Phone/Fax

Practice location:
  • Phone: 352-746-1358
  • Fax: 352-746-1972
Mailing address:
  • Phone: 352-746-1358
  • Fax: 352-746-1972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY H RUBEN
Title or Position: PRESIDENT OWNER
Credential: DO
Phone: 352-746-1358