| Daley And Associates Primemed Of Tampa Bay Llc | |
|
300 Riverside Dr E Ste 2600 Bradenton FL 34208-1008 | |
| (941) 251-4933 | |
| (941) 251-4934 |
| Full Name | Daley And Associates Primemed Of Tampa Bay Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Riverside Dr E, Bradenton, Florida |
| Authorized Official Name and Position | Josie A. Walters (MPM SPECIALIST) |
| Authorized Official Contact | 3022332532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daley And Associates Primemed Of Tampa Bay Llc 300 Riverside Dr E Ste 2600 Bradenton FL 34208-1008 Ph: (941) 251-4933 | Daley And Associates Primemed Of Tampa Bay Llc 300 Riverside Dr E Ste 2600 Bradenton FL 34208-1008 Ph: (941) 251-4933 |
| NPI Number | 1962843029 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Medicare PECOS PAC ID | 3375779333 |
|---|---|
| Medicare Enrollment ID | O20131121000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962843029 | NPI | - | NPPES |
| 273870800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92581 (Florida) | Primary |
| Provider Name | Andrew C Daley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285644054 PECOS PAC ID: 8022041938 Enrollment ID: I20050912001198 |
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