CITRUS FAMILY MEDICAL CENTER LLC (NPI# 1750544706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750544706 |
| Entity Type | Organization |
| Organization Name | CITRUS FAMILY MEDICAL CENTER LLC |
| Other Organization Name | LEGENDS FAMILY MEDICAL CENTER |
| Practice Address |
1485 Legends Boulevard Davenport FL 33896 |
| Practice Telephone | 8635378000 |
| Mailing Telephone | 8635378000 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MS. DIANA S GAUCHAT (PRESIDENT CEO) |
| Authorized Official Telephone | 4073480990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Legends Family Medical Center | Doing Business As Name - Organization |
| Street Address |
1485 LEGENDS BOULEVARD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1891176160 | Annissa Michael | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-06-12 |
| 1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
| 1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
| 1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
| 1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
| 1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
| Find all providers in zip 33896 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346362357 | Nauman Zaffar | Clinic/Center | 7810 Lake Wilson Rd, Davenport, FL 33896-9605 | 2007-04-03 |
| 1578016820 | Family Care Physician Group | Clinic/Center | 45669 Highway 27, Davenport, FL 33897-4546 | 2016-08-03 |
| 1699186361 | Z Medical Center Inc | Clinic/Center | 7810 Lake Wilson Rd, Davenport, FL 33896-9605 | 2014-05-15 |
| 1174818447 | Quad Cities Pediatrics, P.C. | Clinic/Center | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2011-06-15 |
| 1235118118 | Davenport Clinic, P.C. | Clinic/Center | 1820 W 3rd St, Davenport, IA 52802-1812 | 2006-01-10 |
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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.