# IN HOME PRIMARY CARE PROVIDER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730481326
- **Authorized official:** IRIS C BRACKEN NP (OWNER)
- **Authorized official phone:** (813) 406-1925

## Contact information

- **Practice address:** 5545 MARIE DR, ZEPHYRHILLS, FL 33541-1913
- **Practice address phone:** (813) 406-1925
- **Mailing address:** 5545 MARIE DR, ZEPHYRHILLS, FL 33541-1913
- **Mailing address phone:** (813) 406-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2078202 | FL | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010