| Doctor Name: | DR. MAX CITRIN |
| NPI Number: | 1881026920 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS12975 |
| Business Practice Address: | 2061 Nw Boca Raton Blvd Suite 106 Boca Raton, FL - 334317411 |
| Business Phone Number: | 5613032912 |
| Business Fax Number: | 5613032951 |
| Mailing Address: | 2061 Nw Boca Raton Blvd, Suite 106 BOCA RATON |
| State: | FL |
| Postal Code: | 334317411 |
| Phone Number: | 5613032912 |
| Fax Number: | 5613032951 |
| NPI Enumeration Date: | 07/31/2013 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS12975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |