Organization
CITRUS FAMILY MEDICAL CENTER LLC
Active
Other names
Legends Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA S GAUCHAT (PRESIDENT CEO)
(407) 348-0990
Entity
Organization
Contact information
Practice address
1485 LEGENDS BOULEVARD, DAVENPORT, FL 33896
(863) 537-8000
Mailing address
1485 LEGENDS BOULEVARD, DAVENPORT, FL 33896
(863) 537-8000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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