Primecare Medical Group LLC

NPI #1932339926 in Land O Lakes, Florida

Provider Information

NPI Number: 1932339926
Entity Type: Organization
Organization Name: Primecare Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 23, 2009
Last Updated: May 3, 2010

Practice Location

Address: 2638 NARNIA WAY UNIT 101
City: Land O Lakes
State: Florida
ZIP Code: 34638-7321
Phone: (813) 909-0760

Authorized Official

Name: MR. MARTIN REVELLO
Title: PRESIDENT
Phone: (813) 932-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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