Citycare Health Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CITYCARE HEALTH INC.

Practice address

1612 W Waters Ave
Tampa, FL 33604-2761

Phone

(813) 283-1277

Fax

(813) 283-1279

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Duchesneau, M.D

Title

President

Phone

(813) 283-1279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1649555806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042761",
            "telephone_number": "813-283-1277",
            "fax_number": "813-283-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042761",
            "telephone_number": "813-283-1277",
            "fax_number": "813-283-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYCARE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "DUCHESNEAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-283-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DUCHESNEAU NPI",
            "identifier": "1174555098",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citrus Park Medical Care Inc
• Citrus Park Surgery Center
• Citrus-Bay Medical Equipments L.L.C
• City Care Services Inc (City Care Pharmacy)
• City of Tampa Fla
• Maddie Ciunci
• Miriam Y Civil Caballero
• CK Med Consulting LLC
• Julie M Claar, MD
• Clade Essentials, LLC

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.