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Organization
PRIMARY OPTIONS INC
Active
Organization
PRIMARY OPTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BURRESS (PRACTICE ADMINISTRATOR)
(352) 259-7994
Entity
Organization
Contact information
Practice address
607 HIGHWAY 466, LADY LAKE, FL 32159-6338
(352) 259-7994
Mailing address
PO BOX 2447, LADY LAKE, FL 32158-2447
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/11/2012
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