Healthcare Provider Details

I. General information

NPI: 1750976874
Provider Name (Legal Business Name): CITRUS PREFERRED CLINIC,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HIGHWAY 44 W
INVERNESS FL
34453-3722
US

IV. Provider business mailing address

2525 HIGHWAY 44 W
INVERNESS FL
34453-3722
US

V. Phone/Fax

Practice location:
  • Phone: 352-405-1900
  • Fax: 352-405-1009
Mailing address:
  • Phone: 352-405-1900
  • Fax: 352-405-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS B BOIS
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 301-556-8681