# PHYSICIAN ASSISTANT SERVICES DBA CITRA FAMILY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619355302
- **Authorized official:** LISA MOLINSKI (VICE PRESIDENT)
- **Authorized official phone:** (352) 286-6981

## Contact information

- **Practice address:** 17805 N US HIGHWAY 301, CITRA, FL 32113-2459
- **Practice address phone:** (352) 595-7777
- **Practice address fax:** (352) 595-4047
- **Mailing address:** 5939 SE 22ND AVE, OCALA, FL 34480-6127
- **Mailing address phone:** (352) 286-6981
- **Mailing address fax:** (352) 622-3025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | PA2401 | FL | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 05/13/2015
