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
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
11/05/2021
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