Primary Care 369 Llc in Boca Raton, FL

Primary Care 369 Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Boca Raton, Florida. The current practice location for Primary Care 369 Llc is 9980 Central Park Blvd N Ste 314, Boca Raton, Florida. For appointments, you can reach them via phone at (561) 315-0198. The mailing address for Primary Care 369 Llc is 8990 Lakeview Pl, Parkland, Florida and phone number is (954) 801-5172.

Primary Care 369 Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760034300. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 315-0198.

Contact Information

	Primary Care 369 Llc
	9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704
	(561) 315-0198
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Primary Care 369 Llc
Speciality	Clinic/Center
Location	9980 Central Park Blvd N Ste 314, Boca Raton, Florida
Authorized Official Name and Position	Gayatri Siram (OWNER)
Authorized Official Contact	5613150198
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Primary Care 369 Llc 8990 Lakeview Pl Parkland FL 33076-4122 Ph: (954) 801-5172	Primary Care 369 Llc 9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704 Ph: (561) 315-0198

NPI Details:

NPI Number	1760034300
Provider Enumeration Date	07/14/2019
Last Update Date	12/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	8426483264
Medicare Enrollment ID	O20200124000251

Medical Identifiers

Medical identifiers for Primary Care 369 Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760034300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primary Care 369 Llc acts as a billing entity for following providers:

Provider Name	Gayatri Siram
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1083858476 PECOS PAC ID: 1759534787 Enrollment ID: I20121226000301

Reviews and Comments

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Primary Care 369 Llc - Medicare Primary Care in Boca Raton, FL