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Organization
PRIMECARE, LLC
Active
Organization
PRIMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN RAUL REVELLO (PRESIDENT)
(813) 514-6750
Entity
Organization
Contact information
Practice address
1753 W FLETCHER AVE, TAMPA, FL 33612-1820
(813) 514-6750
(813) 514-6751
Mailing address
1753 W FLETCHER AVE, TAMPA, FL 33612-1820
(813) 514-6750
(813) 514-6751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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