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Organization
PRIME HEALTHCENTRAL
Active
Organization
PRIME HEALTHCENTRAL
Active
Other names
Medickass International Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE KASSIM DO,MPH (PRESIDENT)
(954) 889-7134
Entity
Organization
Contact information
Practice address
630 DATURA ST, APT 12-A, WEST PALM BEACH, FL 33401-5314
(954) 889-7134
Mailing address
3540 NW 121ST AVE, BOX 451447, SUNRISE, FL 33323-3302
(954) 889-7134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
01/19/2010
Last updated
05/12/2011
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