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Organization
PRIMECARE VENICE LLC
Active
Organization
PRIMECARE VENICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE A SPADA (APRN)
(941) 676-3440
Entity
Organization
Contact information
Practice address
1531 TAMIAMI TRL S STE 703, VENICE, FL 34285-5569
(941) 676-3440
(941) 303-5552
Mailing address
11802 TEMPEST HARBOR LOOP, VENICE, FL 34292-3821
(401) 480-0839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
06/12/2020
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