Active NPI
Citrus Health Care, Inc
- Health Maintenance Organization
- Tampa, FL
National Provider Identifier
1386652980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- CITRUS HEALTH CARE, INC
- Practice address
- 5420 Bay Center Dr
Suite 250
Tampa, FL 33609-3436 - Phone
- (813) 490-8900
- NPI assigned
- Aug 3, 2006
- 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
- Mr. Jayant Patel, MD
- Title
- Executive VP Medical Director
- Phone
- (813) 490-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
5420 Bay Center Dr
Suite 250
Tampa, FL 33609-3436
Mailing address
5420 Bay Center Dr
Suite 250
Tampa, FL 33609-3436
Phone (813) 490-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H5407 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5420 Bay Center Dr
Ste 250
Tampa, FL 33609
Phone (813) 490-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1386652980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 BAY CENTER DR",
"address_2": "SUITE 250",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093436",
"telephone_number": "813-490-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 BAY CENTER DR",
"address_2": "SUITE 250",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093436",
"telephone_number": "813-490-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRUS HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "JAYANT",
"authorized_official_title_or_position": "EXECUTIVE VP MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-490-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H5407",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.