| Atlantic Primary Care PLLC | |
|
735 Dunlawton Ave Ste B Port Orange FL 32127-9226 | |
| (386) 872-5190 | |
| (386) 872-5193 |
| Full Name | Atlantic Primary Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Dunlawton Ave Ste B, Port Orange, Florida |
| Authorized Official Name and Position | Akram Batniji (OWNER) |
| Authorized Official Contact | 3868725190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Primary Care PLLC Po Box 1092 Enfield CT 06083-1092 Ph: (860) 746-4112 | Atlantic Primary Care PLLC 735 Dunlawton Ave Ste B Port Orange FL 32127-9226 Ph: (386) 872-5190 |
| NPI Number | 1376167171 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376167171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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