Organization
PHYSICIAN ASSISTANT SERVICES DBA CITRA FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MOLINSKI (VICE PRESIDENT)
(352) 286-6981
Entity
Organization
Contact information
Practice address
17805 N US HIGHWAY 301, CITRA, FL 32113-2459
(352) 595-7777
(352) 595-4047
Mailing address
5939 SE 22ND AVE, OCALA, FL 34480-6127
(352) 286-6981
(352) 622-3025
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
PA2401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S58197
UPIN
FL
Enumeration date
05/13/2015
Last updated
05/13/2015
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