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
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
02/24/2025
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