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CITRUS ORTHOPAEDIC AND JOINT INSTITUTE PA NPI 1275668063


NPI Information

NPI: 1275668063
Provider Name: CITRUS ORTHOPAEDIC AND JOINT INSTITUTE, PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
950 N AVALON WAY
LECANTO, FL
ZIP 34461
Phone: (352) 746-2663
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CITRUS ORTHOPAEDIC AND JOINT INSTITUTE, PA is an orthopaedic surgery in Lecanto, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CITRUS ORTHOPAEDIC AND JOINT INSTITUTE, PA NPI is 1275668063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

950 N AVALON WAY
LECANTO, FL
ZIP 34461-004
Phone: (352) 746-2663
Fax: (352) 746-6907

The provider's authorized official is Andrew J Petrella .
The authorized official title is Owner and has the following contact phone number (352) 746-2663.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 4/27/2015.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineME0080012FLORIDANo
2213E00000XPodiatristPO0002716FLORIDANo
3225100000XPhysical TherapistPT20489FLORIDANo
4225100000XPhysical TherapistPT8397FLORIDANo
5225X00000XOccupational TherapistOT3425FLORIDANo
6363AM0700XPhysician AssistantMedicalPA3291FLORIDANo
7363AM0700XPhysician AssistantMedicalPA9101478FLORIDANo
8363AS0400XPhysician AssistantSurgicalPA3291FLORIDANo
9363AS0400XPhysician AssistantSurgicalPA9101478FLORIDANo
10363A00000XPhysician AssistantPA9108675FLORIDANo
11207X00000XOrthopaedic SurgeryME0074278FLORIDAYes

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
1273441900MEDICAIDFLORIDA
294997OTHERFLORIDABCBS FLA
3K2656MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
44315400001MEDICARE NSCFLORIDA
5DA2404OTHERFLORIDARAILROAD MEDICARE

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

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