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Organization
CITRUS MULTI CARE LLC
Active
Organization
CITRUS MULTI CARE LLC
Active
Other names
Citrus Care Clinic LLC, Citrus Dermatology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE UNDERWOOD (OWNER)
(352) 302-2223
Entity
Organization
Contact information
Practice address
255 SE 7TH AVE STE 1, CRYSTAL RIVER, FL 34429-4848
(352) 794-6385
Mailing address
255 SE 7TH AVE STE 3, CRYSTAL RIVER, FL 34429-4848
(352) 302-2223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
NULL
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
NULL
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
NULL
207NS0135X
Procedural Dermatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/18/2018
Last updated
11/05/2021
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