CITRUS HEALTH NETWORK (NPI# 1669625307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669625307 |
| Entity Type | Organization |
| Organization Name | CITRUS HEALTH NETWORK |
| Practice Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
| Practice Telephone | 3058250300 |
| Practice Fax Number | 3058181885 |
| Mailing Telephone | 3058250300 |
| Mailing Fax Number | 3058181885 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105376101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508573 | Citrus Health Network | Pharmacy | 551 W 51st Pl Fl 1, Hialeah, FL 33012-3601 | 2019-09-20 |
| 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 |
| 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 |
4175 W 20TH AVE |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-5874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232255 | Reinaldo Hernandez | Psychiatry & Neurology | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2006-05-16 |
| 1346867082 | Stephanie Schein | Social Worker | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-29 |
| 1346866837 | Roberto Andres Orozco Vega | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-19 |
| 1376168401 | Bianca Alonso | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-06-15 |
| 1568085785 | Michelle Caridad Vallejo | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-21 |
| 1467074922 | Virginia Amanda Ulloa | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-07 |
| 1730700402 | Mariestrella Morffi-pla | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-05-04 |
| 1962023960 | Erick Acosta Heredia | Student in an Organized Health Care Education/Training Program | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-04-30 |
| 1275160764 | Jose Ignacio Ramirez Rodriguez | Counselor | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-03-24 |
| 1568097137 | Isabella Kristin Pischner | Social Worker | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2020-03-04 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839851 | Aromas By Imas Enterprise Corp | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 402, Hialeah, FL 33016-5504 | 2020-10-23 |
| 1326647033 | Ccy Services Corp | Durable Medical Equipment & Medical Supplies | 2300 W 84th St Ste 206, Hialeah, FL 33016-5772 | 2020-10-22 |
| 1841804119 | Times Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 455 W 23rd St Unit 8, Hialeah, FL 33010-1415 | 2020-09-03 |
| 1659993277 | Best Way Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 2300 W 84th St Ste 311, Hialeah, FL 33016-5773 | 2020-05-18 |
| 1215558861 | Lb Hooper Supports & Supplies LLC | Durable Medical Equipment & Medical Supplies | 1490 W 49th Pl Ste 503b, Hialeah, FL 33012-3191 | 2020-05-05 |
| 1154958650 | Dima Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 330 W 9th St Ste 4, Hialeah, FL 33010-3865 | 2020-03-25 |
| 1760017156 | Gba Services Inc | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 212, Hialeah, FL 33016-5503 | 2020-03-06 |
| 1891327839 | Healing Services Inc | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 204, Hialeah, FL 33016-5503 | 2020-02-07 |
| 1386280824 | New Star Services, Inc. | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 213, Hialeah, FL 33016-5503 | 2019-11-19 |
| 1144874793 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 802 E 25th St, Hialeah, FL 33013-3402 | 2019-07-31 |
| 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.