Provider Demographics
NPI:1881026920
Name:CITRIN, MAX (DO)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:
Last Name:CITRIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2061 NW BOCA RATON BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7411
Mailing Address - Country:US
Mailing Address - Phone:561-303-2912
Mailing Address - Fax:561-303-2951
Practice Address - Street 1:2061 NW BOCA RATON BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7411
Practice Address - Country:US
Practice Address - Phone:561-303-2912
Practice Address - Fax:561-303-2951
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12975208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice