NPIMap

Organization Active NPI

Citrus Surgical Group PA

Doing business as Citrus Surgical P. A.

  • Specialist
  • Altamonte Springs, FL
National Provider Identifier
1730389313
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME47059 Issued in FL
Legal business name
CITRUS SURGICAL GROUP PA
Doing business as
Citrus Surgical P. A.
Practice address
661 E Altamonte Drive
Suite 331
Altamonte Springs, FL 32701
Phone
(407) 830-8787
Fax
(407) 830-1677
NPI assigned
Jul 20, 2007
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Ivan Rosado, MDNPI 1831164714
Title
President
Phone
(407) 830-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME47059 FL Primary

Addresses

Primary practice location

661 E Altamonte Drive
Suite 331
Altamonte Springs, FL 32701

Mailing address

661 E Altamonte Drive
Suite 331
Altamonte Springs, FL 32701
Phone (407) 830-8787

Other names 1

  • Citrus Surgical P. A. Doing business as

National Provider Directory

National Provider Directory

Locations

661 E Altamonte Dr
Ste 331
Altamonte Springs, FL 32701
Phone (321) 277-6441

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1730389313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DRIVE",
            "address_2": "SUITE 331",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8787",
            "fax_number": "407-830-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DRIVE",
            "address_2": "SUITE 331",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8787",
            "fax_number": "407-830-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-830-8787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Surgical P. A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.