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Organization
PREMIUM PRIMARY CARE & WALK-IN CLINIC INC
Active
Organization
PREMIUM PRIMARY CARE & WALK-IN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK A VERGEL DE DIOS (APRN)
(772) 446-0950
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR UNIT A-107P, PORT ST LUCIE, FL 34952-7553
(772) 446-0950
(772) 446-0956
Mailing address
1801 SE HILLMOOR DR UNIT A-107P, PORT ST LUCIE, FL 34952-7553
(772) 446-0950
(772) 446-0956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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