Physician Assistant Services Dba Citra Family Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

PA2401 Issued in FL

Legal business name

PHYSICIAN ASSISTANT SERVICES DBA CITRA FAMILY HEALTH

Practice address

17805 N US Highway 301
Citra, FL 32113-2459

Phone

(352) 595-7777

Fax

(352) 595-4047

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Molinski

Title

Vice President

Phone

(352) 286-6981

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1619355302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 SE 22ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344806127",
            "telephone_number": "352-286-6981",
            "fax_number": "352-622-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 N US HIGHWAY 301",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132459",
            "telephone_number": "352-595-7777",
            "fax_number": "352-595-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSISTANT SERVICES DBA CITRA FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MOLINSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-286-6981"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "PA2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S58197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midnight Rose Equestrian LLC
• Susan Midtfjell Bonagura, PT
• Angela Hope Moore
• Barbara Murphree, PAC
• Harry Paul Narvaez-Mercado
• Physician Assistant Services Inc
• Renal Treatment Centers-Southeast, LP.
• Martha R Rutley
• Donald Eugene Shannon, C.A.P. #4011
• Simply Southern Sitting-Florida Style, LLC

• All providers in Citra, FL
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.