FLORIDA DEPARTMENT OF HEALTH CITRUS COUNTY HEALTH DEPARTMENT (NPI# 1467694810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467694810 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH CITRUS COUNTY HEALTH DEPARTMENT |
| Other Organization Name | CITRUS COUNTY HEALTH DEPARTMENT |
| Practice Address |
3700 W Sovereign Path Lecanto FL 34461-8071 |
| Practice Telephone | 3525270068 |
| Practice Fax Number | 3525278858 |
| Mailing Telephone | 3525270068 |
| Mailing Fax Number | 3525278858 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | MS. TERESA GOODMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3525270068 |
| Authorized Official Credential | PHD, A.R.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 027919601 | 05 | |
| FL | 027919600 | 05 |
| Other Name | Type Code |
|---|---|
| Citrus County Health Department | Doing Business As Name - Organization |
| Street Address |
3700 W SOVEREIGN PATH |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-8071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164493664 | Florida Department of Health | Public Health or Welfare | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2006-02-01 |
| 1396282612 | Raquel Gonzalez | Dental Hygienist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2017-01-24 |
| 1689116519 | Jennifer Ann Cruz | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2016-11-09 |
| 1326421199 | Cindy Michelle Floyd | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2015-06-29 |
| 1407288087 | Karen Gidden | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2013-08-06 |
| 1245523059 | Citrus County Health Department | Community/Behavioral Health | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2011-05-26 |
| 1457544264 | Austin Primis | Family Medicine | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-08-24 |
| 1073722989 | Melissa S Heil | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-05-21 |
| 1871649251 | Carol W Burke | Nutritionist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-01-26 |
| 1548351745 | Barbara I. Foster | Registered Nurse | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| 1598270555 | Project Health Inc. | Clinic/Center | 512 N Lecanto Hwy # 491, Lecanto, FL 34461-8547 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
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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.