| Prime Assure Llc | |
|
1060 Winter Ln Tallahassee FL 32311-1267 | |
| (850) 524-1577 | |
| Not Available |
| Full Name | Prime Assure Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 1060 Winter Ln, Tallahassee, Florida |
| Authorized Official Name and Position | Uloma D Onubogu (MANAGER) |
| Authorized Official Contact | 85085241577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Assure Llc 1060 Winter Ln Tallahassee FL 32311-1267 Ph: (850) 852-4157 | Prime Assure Llc 1060 Winter Ln Tallahassee FL 32311-1267 Ph: (850) 524-1577 |
| NPI Number | 1447699178 |
|---|---|
| Provider Enumeration Date | 06/16/2013 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447699178 | NPI | - | NPPES |
| 009484200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2721822 (Florida) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 2721822 (Florida) | Primary |
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