# PRIMARY CARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053749887
- **Authorized official:** MR. ZINOVY DRALYUK (PRESIDENT)
- **Authorized official phone:** (305) 924-4118

## Contact information

- **Practice address:** 1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL 33139-2538
- **Practice address phone:** (305) 924-4118
- **Practice address fax:** (847) 919-3507
- **Mailing address:** 1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL 33139-2538
- **Mailing address phone:** (305) 924-4118
- **Mailing address fax:** (847) 919-3507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2013
- **Last updated:** 10/14/2013