# CITRA FAMILY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citra Family Health, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952145690
- **Authorized official:** DEBORAH GRAFFAGNINO (CREDENTIALING MANAGER)
- **Authorized official phone:** (352) 300-7505

## Contact information

- **Practice address:** 17805 N US HIGHWAY 301, CITRA, FL 32113-2459
- **Practice address phone:** (352) 595-1718
- **Mailing address:** 17805 N US HIGHWAY 301, CITRA, FL 32113-2459
- **Mailing address phone:** (352) 595-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2024
- **Last updated:** 02/24/2025