Organization Active NPI

Health Atlast Citrus Medical LLC

  • Internal Medicine Physician
  • Crystal River, FL
National Provider Identifier
1851793228
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L14000133644 Issued in FL
Legal business name
HEALTH ATLAST CITRUS MEDICAL LLC
Practice address
2320 N Sunshine Path
Crystal River, FL 34428-5810
Phone
(352) 795-5350
Fax
(352) 795-7487
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. Andew J Jones, DC
Title
Owner
Phone
(352) 795-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L14000133644 FL Primary

Addresses

Primary practice location

2320 N Sunshine Path
Crystal River, FL 34428-5810

Mailing address

2320 N Sunshine Path
Crystal River, FL 34428-5810
Phone (352) 795-5350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1851793228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-795-5350",
            "fax_number": "352-795-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-795-5350",
            "fax_number": "352-795-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ATLAST CITRUS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-795-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "L14000133644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.