Organization Active NPI

Citrus Health Care, Inc

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1386652980
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Jul 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
H5407MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.