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Organization
CITRA FAMILY HEALTH
Active
Organization
CITRA FAMILY HEALTH
Active
Other names
Citra Family Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GRAFFAGNINO (CREDENTIALING MANAGER)
(352) 300-7505
Entity
Organization
Contact information
Practice address
17805 N US HIGHWAY 301, CITRA, FL 32113-2459
(352) 595-1718
Mailing address
17805 N US HIGHWAY 301, CITRA, FL 32113-2459
(352) 595-1718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/19/2024
Last updated
02/24/2025
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