Active NPI
Vladmir J. Vlcko DO, P.a
Doing business as Citrus Medical Associates
- Family Medicine Physician
- Inverness, FL
National Provider Identifier
1154344125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VLADMIR J. VLCKO DO, P.A
- Doing business as
- Citrus Medical Associates
- Practice address
- 216 S Seminole Ave
Inverness, FL 34452-4738 - Phone
- (352) 560-0333
- Fax
- (352) 560-0337
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pam Vlcko
- Title
- Office Manager
- Phone
- (352) 560-0333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
216 S Seminole Ave
Inverness, FL 34452-4738
Mailing address
216 S Seminole Ave
Inverness, FL 34452-4738
Phone (352) 560-0333
Other names 1
- Citrus Medical Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000166 | FL | Part B Supplier - Clinic/Group Practice | 6103710835 |
Receives reassigned benefits from 52 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ocala, FL; Wildwood, FL; The Villages, FL; Tavares, FL; Leesburg, FL; Lecanto, FL; Crystal River, FL; Inverness, FL… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Cardiovascular Disease Physician
- Inverness, FL
- NPI 1669405379
O20040212000166
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
402 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-5511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600732800000",
"number": "1154344125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 S SEMINOLE AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524738",
"telephone_number": "352-560-0333",
"fax_number": "352-560-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 S SEMINOLE AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524738",
"telephone_number": "352-560-0333",
"fax_number": "352-560-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VLADMIR J. VLCKO DO, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A",
"authorized_official_last_name": "VLCKO",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-560-0333",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Citrus Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inverness, FL
- Erik Vincek
- Nathaniel James Vinje, DO
- Vision Specialty Associates, P.a. (Vision Specialty Assoc., P.a. #12)
- Vital Signs Physicians FL PL
- Ajith Abraham Vivek, MD
- VSP Nephrology Associates PLLC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1104)
- Wal-Mart Stores East, LP (Vision Center 30-1104)
- Walgreen Co (Walgreens #05691)
- Dennis J Walker, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.