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Organization
PRIME HEALTHCARE LLC
Active
Organization
PRIME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL BONA (SOLE MBR)
(727) 439-2677
Entity
Organization
Contact information
Practice address
4319 E 7TH AVE, SUITE 103, TAMPA, FL 33605-4628
(727) 439-2677
(727) 499-7548
Mailing address
4319 E 7TH AVE, SUITE 103, TAMPA, FL 33605-4628
(727) 439-2677
(727) 499-7548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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