Primary Healthcare

NPI #1295326734 in Dunnellon, Florida

Provider Information

NPI Number: 1295326734
Entity Type: Organization
Organization Name: Primary Healthcare
Primary Specialty: Family Medicine
Enumeration Date: Jan 28, 2021
Last Updated: Jan 28, 2021

Practice Location

Address: 19990 NW 13TH ST
City: Dunnellon
State: Florida
ZIP Code: 34431-1504
Phone: (352) 857-4493

Authorized Official

Name: GEORGIA FAE GONZALEZ, FNP
Title: OWNER/MANAGER
Phone: (352) 857-4493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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