Organization · Type 2 NPI

Citrus Memorial Hospital, Inc.

Emergency Care Clinic/Center · Lecanto, FL

NPI number 1760315014 Active

Practice location

3470 W Norvell Bryant Hwy
Lecanto, FL 34461

Specialties and licenses

Taxonomy	Code	License
Emergency Care Clinic/Center Primary	261QE0002X	None listed

Emergency Care Clinic/Center: Definition to come...

Another provider at this address

Integrated Regional Laboratories Pathology Services, LLCAnatomic Pathology & Clinical Pathology Physician Lecanto, FL NPI 1851224752

NPI record

NPI: 1760315014
Entity type: Organization (Type 2)
Issued: Jun 5, 2026
Last updated: Jun 5, 2026
Status: Active
Subpart: Yes of Citrus Memorial Hospital, Inc.

Other names

Hca Florida Black Diamond Emergency, A Part of Hca Florida Citrus Hospital · doing business as

Authorized official

Jodan Fulkerson
CFO
(727) 341-4806

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760315014

Citrus Memorial Hospital, Inc.'s National Provider Identifier is 1760315014, issued on Jun 5, 2026. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Lecanto, FL. The record was last updated on Jun 5, 2026.