| Primary Care Specialists, Llc | |
|
2572 W State Road 426 Suite 1040 Oviedo FL 32765-8389 | |
| (407) 366-9800 | |
| (407) 366-9283 |
| Full Name | Primary Care Specialists, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2572 W State Road 426, Oviedo, Florida |
| Authorized Official Name and Position | Gerald J Kivett (PARTNER) |
| Authorized Official Contact | 4072759014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists, Llc 2572 West St Rd 426 Suite 1040 Oviedo FL 32765 Ph: (407) 366-9800 | Primary Care Specialists, Llc 2572 W State Road 426 Suite 1040 Oviedo FL 32765-8389 Ph: (407) 366-9800 |
| NPI Number | 1114010824 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114010824 | NPI | - | NPPES |
| 24506 | Other | FL | BCBS |
| 207Q00000X | Other | FL | FAMILY PRACTICE |
| 363L00000X | Other | FL | NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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