Citrus Multi Care LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CITRUS MULTI CARE LLC

Doing business as

Citrus Care Clinic LLC
Citrus Dermatology LLC

Practice address

255 SE 7TH Ave Ste 1
Crystal River, FL 34429-4848

Phone

(352) 794-6385

NPI assigned

Jul 18, 2018

Last updated

Nov 5, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandie UnderwoodNPI 1538645122

Title

Owner

Phone

(352) 302-2223

Specialties & licenses 5

Addresses

Other names 2

• Citrus Care Clinic LLC Doing business as
• Citrus Dermatology LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlin Nichole Onorato, APRN

  • Nurse Practitioner
  • Lecanto, FL
  • NPI 1316511728
  Medicare reassignment Care Compare group NPD
• Kenneth A Wallace III, MD

  • MOHS-Micrographic Surgery Physician
  • Ocala, FL
  • NPI 1295791754

  Dermatology

  Medicare reassignment Care Compare group NPD
• Dorothy Lasky, PA

  • Physician Assistant
  • The Villages, FL
  • NPI 1366551269
  Medicare reassignment Care Compare group
• Odelsa Diaz Andres, M.D

  • General Practice Physician
  • Beverly Hills, FL
  • NPI 1770579245
  Medicare reassignment NPD
• Ira Freilich, MD

  • MOHS-Micrographic Surgery Physician
  • Tallahassee, FL
  • NPI 1427081496

  Dermatology

  Medicare reassignment NPD
• Scott M Schlauder, M.D. M.S.

  • Dermatopathology (Pathology) Physician
  • Kissimmee, FL
  • NPI 1700030178
  Medicare reassignment NPD
• Brandie Underwood

  • Clinical Laboratory Director (Non-physician)
  • Crystal River, FL
  • NPI 1538645122
  NPD Authorized official
• Neko Gude, PA

  • Physician Assistant
  • Port Richey, FL
  • NPI 1003420308
  Medicare reassignment
• Kiran Babu Lachireddy, PA

  • Physician Assistant
  • The Villages, FL
  • NPI 1821470477
  Medicare reassignment
• Kaitlyn Marie Eichler, APRN

  • Family Nurse Practitioner
  • Dunnellon, FL
  • NPI 1518858034
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1073099461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 3",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-302-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-794-6385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 SE 7th Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "34429",
            "country_code": "US",
            "telephone_number": "352-302-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITRUS MULTI CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-302-2223"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Care Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Care Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Dermatology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citrus Hma LLC (Bravera Health Seven Rivers)
• Citrus Hma LLC (Bravera Health Seven Rivers)
• Citrus Hospitalists PA
• Citrus Infectious Disease LLC
• Citrus Medical Supplies, Inc
• Citrus Nephrology Associates Inc
• Citrus Oral and Facial Surgery at Ocala, LLC
• Citrus Oral and Maxillofacial Surgery PA
• Citrus Path LLC
• Citrus Pest Management Inc.

• Multi-Specialty Clinic/Center in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.