Prime Healthcare LLC

NPI #1427424811 in Tampa, Florida

Provider Information

NPI Number: 1427424811
Entity Type: Organization
Organization Name: Prime Healthcare LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 19, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 4319 E 7TH AVE
Address 2: SUITE 103
City: Tampa
State: Florida
ZIP Code: 33605-4628
Phone: (727) 439-2677

Authorized Official

Name: MR. RAFAEL BONA
Title: SOLE MBR
Phone: (727) 439-2677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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