Provider Demographics
NPI:1053036459
Name:HTCITRUS LLC
Entity type:Organization
Organization Name:HTCITRUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEJASWINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-449-3222
Mailing Address - Street 1:909 N FRESNO AVE
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:FL
Mailing Address - Zip Code:34442-4809
Mailing Address - Country:US
Mailing Address - Phone:813-449-3222
Mailing Address - Fax:
Practice Address - Street 1:2425 W NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9439
Practice Address - Country:US
Practice Address - Phone:813-449-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy