Organization Active NPI

Craig W Englund MD PA

Doing business as Citrus Hematology & Oncology Center

  • Specialist
  • Crystal River, FL
National Provider Identifier
1164503389
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CRAIG W ENGLUND MD PA
Doing business as
Citrus Hematology & Oncology Center
Practice address
770 SE 5TH Ter
Crystal River, FL 34429-4852
Phone
(352) 795-6674
Fax
(352) 795-2017
NPI assigned
Oct 17, 2006
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Dr. Servillano E. Dela Cruz Jr., M.D.
Title
President
Phone
(352) 795-6674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary

Addresses

Primary practice location

770 SE 5TH Ter
Crystal River, FL 34429-4852

Mailing address

770 SE 5TH Ter
Crystal River, FL 34429-4852
Phone (352) 795-6674

Other identifiers 1

IdentifierTypeStateIssuer
375126100MedicaidFL

Other names 1

  • Citrus Hematology & Oncology Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1164503389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SE 5TH TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294852",
            "telephone_number": "352-795-6674",
            "fax_number": "352-795-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SE 5TH TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294852",
            "telephone_number": "352-795-6674",
            "fax_number": "352-795-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG W ENGLUND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "SERVILLANO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-6674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375126100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Hematology & Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.