# PRIMARY CARE AT HOME OF FLORIDA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jason C. Cardillo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720656523
- **Authorized official:** DR. JASON CHARLES CARDILLO (DNP)
- **Authorized official phone:** (813) 368-5494

## Contact information

- **Practice address:** 5949 NW 24TH CT, MARGATE, FL 33063-1952
- **Practice address phone:** (954) 621-8980
- **Mailing address:** 6295 W SAMPLE RD UNIT 670783, CORAL SPRINGS, FL 33067-5142
- **Mailing address phone:** (954) 621-8980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 09/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1316472483 | NPI JASON CARDILLO | FL |