| Primecare, LLC | |
|
1753 W Fletcher Ave Tampa FL 33612-1820 | |
| (813) 514-6750 | |
| (813) 514-6751 |
| Full Name | Primecare, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1753 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Martin Raul Revello (PRESIDENT) |
| Authorized Official Contact | 8135146750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare, LLC 1753 W Fletcher Ave Tampa FL 33612-1820 Ph: (813) 514-6750 | Primecare, LLC 1753 W Fletcher Ave Tampa FL 33612-1820 Ph: (813) 514-6750 |
| NPI Number | 1568573624 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568573624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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