Healthcare Provider Details

I. General information

NPI: 1578361390
Provider Name (Legal Business Name): CITRUS HEALTH NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 33RD ST
DORAL FL
33122-2007
US

IV. Provider business mailing address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-0300
  • Fax:
Mailing address:
  • Phone: 305-424-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NORMA IRIZARRY
Title or Position: HR DIRECTOR
Credential:
Phone: 305-424-3030