Midway Primary Care LLC
NPI #1598114779 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1598114779
- Entity Type
- Organization
- Organization Name
- Midway Primary Care LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MIDWAY SPECIALTY CARE CENTER
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 8, 2016
- Last Updated
- Jun 24, 2022
Practice Location
- Address
- 3255 S US HIGHWAY 1
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34982-6381
- Phone
- (772) 742-9470
Authorized Official
- Name
- KATHRYN HAYDEN
- Title
- BOARD MEMBER
- Phone
- (772) 464-9746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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