Citra Family Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CITRA FAMILY HEALTH

Practice address

17805 N US Highway 301
Citra, FL 32113-2459

Phone

(352) 595-1718

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Deborah Graffagnino

Title

Credentialing Manager

Phone

(352) 300-7505

Specialties & licenses 3

Addresses

Other names 1

• Citra Family Health, LLC Doing business as

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.

• Nicole Velez Perrone

  • Physician Assistant
  • Citra, FL
  • NPI 1205569662

  FL

  Medicare reassignment

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1952145690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17805 N US HIGHWAY 301",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132459",
            "telephone_number": "352-595-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 N US HIGHWAY 301",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132459",
            "telephone_number": "352-595-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRA FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "GRAFFAGNINO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "352-300-7505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citra Family Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anointed Housing Counseling and Consulting Services Inc.
• Barbara Anne Barnhill, LMT
• Shardonay Eunique Borden
• Kacie Brady
• Melissa Chandler
• Carl Wesley Cooper Sr.
• Courtney R Cosper
• Samantha Marie Crews, APRN
• Calvin Dandy
• Rebecca Daugherty

• All providers in Citra, FL
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.