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Organization
PRIMARY CARE IN THE HOME, INC
Active
Organization
PRIMARY CARE IN THE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTHONY OTERO APRN (CEO)
(954) 548-8735
Entity
Organization
Contact information
Practice address
3098 EAGLE CROSSING DR, KISSIMMEE, FL 34746-3160
(407) 201-2680
(407) 201-2680
Mailing address
3098 EAGLE CROSSING DR, KISSIMMEE, FL 34746-3160
(407) 201-2680
(407) 201-2680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016105300
—
FL
Enumeration date
01/23/2023
Last updated
01/23/2023
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