MAR PRIMARY CARE LLC NPI 1417423344

NPI Information

NPI: 1417423344
Provider Name: MAR PRIMARY CARE LLC

Doing Business As: CITRUS MEDICAL ASSOCIATES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2901 W SAINT ISABEL ST STE F
TAMPA, FL
ZIP 33607
Phone: (813) 935-4744
Get Directions

MAR PRIMARY CARE LLC is a primary care clinic center in Tampa, FL. MAR PRIMARY CARE LLC NPI is 1417423344. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Citrus Medical Associates.

The provider's business location address is:

2901 W SAINT ISABEL ST STE F
TAMPA, FL
ZIP 33607-371
Phone: (813) 935-4744

The provider's authorized official is Meagan Christine Mane .
The authorized official title is Cfo and has the following contact phone number (813) 935-4744.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6986186	OTHER	FLORIDA	AETNA
2	435I	OTHER	FLORIDA	AVMED
3	103843600	MEDICAID	FLORIDA
4	7420970	OTHER	FLORIDA	CIGNA
5	JI8GZ	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »