Organization Active NPI

Vladmir J. Vlcko DO, P.a

Doing business as Citrus Medical Associates

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1154344125
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Member 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

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.

Verify at the official NPI Registry.