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Organization
PRIME CARE MEDICAL MANAGEMENT LLC
Active
Organization
PRIME CARE MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERELYS PEREZ (ADMINISTRATOR)
(305) 442-1740
Entity
Organization
Contact information
Practice address
1914 NW 84TH AVE, DORAL, FL 33126-1030
(305) 363-3675
(305) 442-2207
Mailing address
1914 NW 84TH AVE, DORAL, FL 33126-1030
(305) 363-3675
(305) 442-2207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/04/2011
Last updated
02/23/2017
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