| Citra Family Health | |
|
17805 N Us Highway 301 Citra FL 32113-2459 | |
| (352) 595-7777 | |
| (352) 595-4047 |
| Full Name | Citra Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 17805 N Us Highway 301, Citra, Florida |
| Authorized Official Name and Position | Frederick C Spogen (CEO) |
| Authorized Official Contact | 3525720666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citra Family Health 17805 N Us Highway 301 Citra FL 32113-2459 Ph: (352) 595-7777 | Citra Family Health 17805 N Us Highway 301 Citra FL 32113-2459 Ph: (352) 595-7777 |
| NPI Number | 1124405022 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Medicare PECOS PAC ID | 1355643917 |
|---|---|
| Medicare Enrollment ID | O20160113002539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124405022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Physician Assistant Services Dba Citra Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17805 N Us Highway 301, Citra, FL 32113 Phone: 352-595-7777 Fax: 352-595-4047 | |
Citra Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17805 N Us Highway 301, Citra, FL 32113 Phone: 352-595-7777 Fax: 352-595-4047 |