Citrus Infectious Disease LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME100412 Issued in FL

Legal business name

CITRUS INFECTIOUS DISEASE LLC

Practice address

760 SE 5TH Ter
Crystal River, FL 34429-4852

Phone

(352) 417-0238

Fax

(352) 794-3146

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gustine O Liu-Young, MDNPI 1528242526

Title

Managing Member

Phone

(352) 417-0238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustine Ong Liu-Young, M.D.

  • Infectious Disease Physician
  • Crystal River, FL
  • NPI 1528242526
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861669889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230072",
            "telephone_number": "352-417-0238",
            "fax_number": "352-794-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SE 5TH TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294852",
            "telephone_number": "352-417-0238",
            "fax_number": "352-794-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS INFECTIOUS DISEASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIU-YOUNG",
        "authorized_official_first_name": "GUSTINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "352-417-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME100412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Hma Inc
• Citrus Hma Inc
• Citrus Hma LLC
• Citrus Hma LLC
• Citrus Hospitalists PA
• Citrus Medical Supplies, Inc
• Citrus Multi Care LLC
• Citrus Nephrology Associates Inc
• Citrus Oral and Facial Surgery at Ocala, LLC
• Citrus Oral and Maxillofacial Surgery PA

• Medical Specialty Clinic/Center in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.