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Organization
PRIMENET MEDICAL GROUP INC
Active
Organization
PRIMENET MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE TORRES (ADMINISTRATOR)
(954) 983-1220
Entity
Organization
Contact information
Practice address
7189 PEMBROKE RD, PEMBROKE PINES, FL 33023
(954) 983-1220
(954) 983-0687
Mailing address
7189 PEMBROKE RD, PEMBROKE PINES, FL 33023
(954) 983-1220
(954) 983-0687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003094200
—
FL
05
—
037965400
—
FL
05
—
045341200
—
FL
05
—
254724400
—
FL
05
—
259691100
—
FL
05
—
277531000
—
FL
05
—
370428900
—
FL
05
—
370428901
—
FL
05
—
370428902
—
FL
Enumeration date
04/21/2006
Last updated
03/16/2011
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