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Organization
SOUTHEASTERN PRIMARY CARE ASSOC, LLC
Active
Organization
SOUTHEASTERN PRIMARY CARE ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M PULCINI MD (MEDICAL DIRECTOR, CEO)
(813) 269-6426
Entity
Organization
Contact information
Practice address
6101 WEBB RD STE 203, TAMPA, FL 33615-2865
(813) 269-6426
(813) 342-5261
Mailing address
6101 WEBB RD STE 203, TAMPA, FL 33615-2865
(813) 269-6426
(813) 342-5261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83175
FL
Other
Enumeration date
08/31/2018
Last updated
10/14/2020
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