# A & C PRIMARY CARE SERVICE INC

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

## Provider details

- **NPI number:** 1245684042
- **Authorized official:** ANGELA M COLON SANTIAGO MD (PRESIDENT)
- **Authorized official phone:** (787) 718-3984

## Contact information

- **Practice address:** 130 LEE BLVD, B, LEHIGH ACRES, FL 33936-6145
- **Practice address phone:** (787) 718-3984
- **Mailing address:** 701 RUTH AVE N, LEHIGH ACRES, FL 33971-1479
- **Mailing address phone:** (787) 718-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2016
- **Last updated:** 04/18/2016