Pediatric Prime Care

NPI #1881093276 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1881093276
Entity Type: Organization
Organization Name: Pediatric Prime Care
Primary Specialty: Pediatrics
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 1801 SE HILLMOOR DRIVE
Address 2: SUITE A105
City: Port Saint Lucie
State: Florida
ZIP Code: 34952-7545
Phone: (772) 335-9949

Authorized Official

Name: DR. PRITHVI RAJ SAWH, M.D.
Title: CEO
Phone: (772) 335-9949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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