Primary Medical Care Center Iv, Inc.
Primary Care Clinic/Center in Mangonia Park, FL(View on Map)
Legal Business Name
Primary Medical Care Center Iv, Inc.
NPI Number
1538872528
NPI Type
Organization
Enumeration Date
01/04/2023
Specialties
(Taxonomies)Code
261QP2300X
261Q00000X
207QG0300X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
11500 NW 7TH AVE
1233 45TH ST STE B4
City
Miami
Mangonia Park
State
FL
FL
Postal Code
33168-2506
33407-2162
Country
US
US
Telephone Number
(561) 250-0000
(561) 250-0000
Authorized Official
Name
Prinston Jean-gluade
Title or Position
CEO
Telephone Number
(305) 345-1369
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/04/2023
Provider Address
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