# CITRUS MULTI CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citrus Care Clinic LLC, Citrus Dermatology LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073099461
- **Authorized official:** BRANDIE UNDERWOOD (OWNER)
- **Authorized official phone:** (352) 302-2223

## Contact information

- **Practice address:** 255 SE 7TH AVE STE 1, CRYSTAL RIVER, FL 34429-4848
- **Practice address phone:** (352) 794-6385
- **Mailing address:** 255 SE 7TH AVE STE 3, CRYSTAL RIVER, FL 34429-4848
- **Mailing address phone:** (352) 302-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 11/05/2021