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Organization
PRIMARY CARE OF OC LLC
Active
Organization
PRIMARY CARE OF OC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALMA CROKER (CEO)
(386) 214-8047
Entity
Organization
Contact information
Practice address
135 E MINNESOTA AVE, ORANGE CITY, FL 32763-2312
(386) 316-5439
(833) 671-1039
Mailing address
341 W MINNESOTA AVE, ORANGE CITY, FL 32763-2205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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