| Citrus Primary Care, Inc | |
|
7945 S Suncoast Blvd Ste A Homosassa FL 34446-5005 | |
| (352) 382-1940 | |
| (352) 382-1940 |
| Full Name | Citrus Primary Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7945 S Suncoast Blvd Ste A, Homosassa, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (GROUP VICE PRESIDENT/AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Primary Care, Inc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Citrus Primary Care, Inc 7945 S Suncoast Blvd Ste A Homosassa FL 34446-5005 Ph: (352) 382-1940 |
| NPI Number | 1093118416 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 7315169992 |
|---|---|
| Medicare Enrollment ID | O20141114001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093118416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Seema V Kamat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528139854 PECOS PAC ID: 6002823481 Enrollment ID: I20060309000262 |
| Provider Name | Charles Anthony Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437287497 PECOS PAC ID: 3870691835 Enrollment ID: I20070614000534 |
| Provider Name | Timothy N Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568564243 PECOS PAC ID: 8921131145 Enrollment ID: I20100809000358 |
| Provider Name | Jeffrey P Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023125556 PECOS PAC ID: 9436167178 Enrollment ID: I20120105000662 |
| Provider Name | Margie M Leturno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124384813 PECOS PAC ID: 7911143318 Enrollment ID: I20130409000201 |
| Provider Name | Michael R King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578591095 PECOS PAC ID: 0749252542 Enrollment ID: I20160208000629 |
| Provider Name | Cathlen S Delva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205275013 PECOS PAC ID: 7517228380 Enrollment ID: I20180220000138 |
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