Citrus Family Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CITRUS FAMILY MEDICAL CENTER LLC

Practice address

1485 Legends Boulevard
Davenport, FL 33896

Phone

(863) 537-8000

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Diana S Gauchat

Title

President Ceo

Phone

(407) 348-0990

Specialties & licenses 1

Addresses

Other names 1

• Legends Family Medical Center Doing business as

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1750544706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LEGENDS BOULEVARD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "863-537-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LEGENDS BOULEVARD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "863-537-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "GAUCHAT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "407-348-0990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legends Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Erin Christensen, PSYD
• Chromey Chiropractic Family & Sports, LLC
• William Stephen Chromey, D.C.
• Chughtai Holdings Inc
• Louisa Cintron
• Citrus Ridge Medical Centers, Inc
• Annamaria Vencenza Clark
• Versailles G Clark
• Marva Clarke, APRN
• Alex Clough, RD, LD

• Primary Care Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Primary Care Clinic/Center in Florida

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