# PRIMIS INITIUM HEALTH LLC

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

## Provider details

- **NPI number:** 1316893928
- **Authorized official:** GABRIEL J RODRIGUEZ TELLADO MD (PRESIDENT)
- **Authorized official phone:** (404) 234-9007

## Contact information

- **Practice address:** 1101 OFFICE WOODS DR, PENSACOLA, FL 32504-5937
- **Practice address phone:** (404) 234-9007
- **Practice address fax:** (850) 474-9060
- **Mailing address:** PO BOX 30120, PENSACOLA, FL 32503-1120
- **Mailing address phone:** (404) 234-9007
- **Mailing address fax:** (850) 474-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/18/2026