Primary Wellcare LLC

NPI #1992654719 in Panama City Beach, Florida

Provider Information

NPI Number
1992654719
Entity Type
Organization
Organization Name
Primary Wellcare LLC
Primary Specialty
Family Medicine
Enumeration Date
Jan 26, 2026
Last Updated
Jan 26, 2026

Practice Location

Address
109 BONAIRE DR
State
Florida
ZIP Code
32413-6006
Phone
(850) 919-4505

Authorized Official

Name
MRS. MARIANNE PINION FORD, NP
Title
OWNER
Phone
(864) 704-6863

Specialties & Taxonomy Codes

Specialty
Family Medicine

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