Island Direct Primary Care LLC
NPI #1811463961 in Merritt Island, Florida
Provider Information
- NPI Number
- 1811463961
- Entity Type
- Organization
- Organization Name
- Island Direct Primary Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Mar 27, 2022
Practice Location
- Address
- 390 N COURTENAY PKWY
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32953-3456
- Phone
- (321) 506-2540
Authorized Official
- Name
- DR. JOHN WESLEY ROTHWELL III, DNP
- Title
- PRESIDENT
- Phone
- (321) 506-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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