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Organization
PRIMECARE MEDICAL GROUP
Active
Organization
PRIMECARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL REVELLO M.D. (MEDICAL DIRECTOR)
(813) 932-0996
Entity
Organization
Contact information
Practice address
8521 N ARMENIA AVE, TAMPA, FL 33604-2540
(813) 932-0996
(813) 932-0266
Mailing address
8521 N ARMENIA AVE, TAMPA, FL 33604-2540
(813) 932-0996
(813) 932-0266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME35878
FL
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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