CITRUS HEALTH NETWORK (NPI# 1417508573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417508573 |
| Entity Type | Organization |
| Organization Name | CITRUS HEALTH NETWORK |
| Practice Address |
551 W 51st Pl Fl 1 Hialeah FL 33012-3601 |
| Mailing Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
| Practice Telephone | 3058176563 |
| Practice Fax Number | 3058176554 |
| Mailing Telephone | 3058250300 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MR. MARIO E. JARDON (PRESIDENT &CEO) |
| Authorized Official Telephone | 3058250300 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| CItrus Family Health Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| 1417250002 | Citrus Health Network | Community/Behavioral Health | 308 E 9th St, Hialeah, FL 33010-4216 | 2010-12-21 |
| 1669625307 | Citrus Health Network | Durable Medical Equipment & Medical Supplies | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2008-10-28 |
| 1437368784 | Citrus Health Network | Community Based Residential Treatment Facility, Mental Illness | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITRUS HEALTH NETWORK, INC. | 4175 W 20th Ave, Hialeah, FL 33012-5874 |
| Street Address |
551 W 51ST PL FL 1 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1124593645 | Good Shepherd Pharmacy | Pharmacy | 5337 W 20th Ave # 33012, Hialeah, FL 33012-2100 | 2018-10-11 |
| 1700328473 | Tu Salud Pharmacy Inc | Pharmacy | 4294 Palm Ave, Hialeah, FL 33012-4283 | 2016-11-13 |
| 1710378484 | Janet Pharmacy Discount Inc | Pharmacy | 6743 W 4th Ave, Hialeah, FL 33012-6605 | 2015-02-16 |
| 1184015026 | Total Pharmacy & Discount Corp | Pharmacy | 48 E 5th St, Hialeah, FL 33010-4842 | 2015-02-13 |
| 1720478332 | International Pharmacy Inc | Pharmacy | 480 Palm Ave, Hialeah, FL 33010 | 2015-02-03 |
| 1326438383 | Laser Pharmacy Corp | Pharmacy | 53 W 21st St Ste 4, Hialeah, FL 33010-2647 | 2015-01-29 |
| 1467842815 | First Solution Pharmacy Corp | Pharmacy | 3782 W 12th Ave, Hialeah, FL 33012-4126 | 2015-01-23 |
| 1922400365 | M & P Pharmacy | Pharmacy | 2570 W 84th St, Hialeah, FL 33016-5702 | 2014-09-17 |
| 1376942417 | Optimun Rx Pharmacy LLC. | Pharmacy | 6900 West 32 Ave Ste #16, Hialeah, FL 33018 | 2014-08-14 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.