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CITRA FAMILY HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: CITRA FAMILY HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CITRA FAMILY HEALTH LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 Jun 2024 (a year ago)
Document Number: L24000271744
FEI/EIN Number 993575357

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: CITRA FAMILY HEALTH, 17805 N US HWY 301, CITRA, FL, 32113, US
Mail Address: CITRA FAMILY HEALTH, 17805 N US HWY 301, CITRA, FL, 32113, US
ZIP code: 32113
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GOODMAN ALFRED Manager 17420 NE 16TH TERRACE, CITRA, FL, 32113
GOODMAN ALFRED Agent 17420 NE 16TH TERRACE, CITRA, FL, 32113

National Provider Identifier

NPI Number:
1952145690
Certification Date:
2025-02-24

Authorized Person:

Name:
DEBORAH GRAFFAGNINO
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-06-14

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Date of last update: 02 Jun 2025

Sources: Florida Department of State