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Organization
PRIME HEALTH OF NORTH PORT LLC
Active
Organization
PRIME HEALTH OF NORTH PORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE GROSS MD (OWNER)
(941) 423-9936
Entity
Organization
Contact information
Practice address
2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288-4600
(941) 423-9936
(941) 426-9794
Mailing address
2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288-4600
(941) 423-9936
(941) 426-9794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84648
FL
Other
Enumeration date
06/04/2006
Last updated
09/27/2011
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