# PRIMACARE HEALTH, LLC

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

## Provider details

- **NPI number:** 1811749062
- **Authorized official:** TRACY HAUGHTON (OFFICE MANAGER)
- **Authorized official phone:** (727) 823-4848

## Contact information

- **Practice address:** 5800 49TH AVE N STE S103, KENNETH CITY, FL 33709-3563
- **Practice address phone:** (727) 823-4848
- **Practice address fax:** (727) 823-4880
- **Mailing address:** 5800 49TH AVE N STE S103, KENNETH CITY, FL 33709-3563
- **Mailing address phone:** (727) 823-4848
- **Mailing address fax:** (727) 823-4880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024