| Citrus Medical Associates | |
|
216 S Seminole Ave Inverness FL 34452-4738 | |
| (352) 560-0333 | |
| (352) 560-0337 |
| Full Name | Citrus Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 216 S Seminole Ave, Inverness, Florida |
| Authorized Official Name and Position | Pam Vlcko (OFFICE MANAGER) |
| Authorized Official Contact | 3525600333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Medical Associates 216 S Seminole Ave Inverness FL 34452-4738 Ph: (352) 560-0333 | Citrus Medical Associates 216 S Seminole Ave Inverness FL 34452-4738 Ph: (352) 560-0333 |
| NPI Number | 1154344125 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 6406005966 |
|---|---|
| Medicare Enrollment ID | O20120927000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154344125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Vladimir Vlcko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033192554 PECOS PAC ID: 3779610076 Enrollment ID: I20100419000308 |
| Provider Name | Antoinette Y Frussinetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596451 PECOS PAC ID: 5597929562 Enrollment ID: I20161019000089 |
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