Prime Health of North Port LLC

NPI #1740228386 in North Port, Florida

Provider Information

NPI Number
1740228386
Entity Type
Organization
Organization Name
Prime Health of North Port LLC
Primary Specialty
Family Medicine
Enumeration Date
Jun 4, 2006
Last Updated
Sep 27, 2011

Practice Location

Address
2975 BOBCAT VILLAGE CENTER RD
Address 2
SUITE 100
State
Florida
ZIP Code
34288-4600
Phone
(941) 423-9936

Authorized Official

Name
LEE GROSS, MD
Title
OWNER
Phone
(941) 423-9936

Specialties & Taxonomy Codes

Specialty
Family Medicine

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