=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033181615
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITRUS UROLOGY ASSOCIATES P A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/07/2006
-----------------------------------------------------
Last Update Date | 08/15/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 609 W HIGHLAND BLVD
-----------------------------------------------------
City | INVERNESS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34452-4638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-726-9707
-----------------------------------------------------
Fax | 352-726-8763
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 609 W HIGHLAND BLVD
-----------------------------------------------------
City | INVERNESS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34452-4638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-726-9707
-----------------------------------------------------
Fax | 352-726-8763
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. THOMAS F STRINGER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 352-726-9707
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208800000X
-----------------------------------------------------
Taxonomy Name | Urology Physician
-----------------------------------------------------
License Number | 10D0272496
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------