# PRIME HEALTH ACO, LLC

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

## Provider details

- **NPI number:** 1821734716
- **Authorized official:** SYED S HUSSAIN MD (MANAGING DIRECTOR)
- **Authorized official phone:** (904) 771-1116

## Contact information

- **Practice address:** 7685 103RD ST STE 1, JACKSONVILLE, FL 32210-9326
- **Practice address phone:** (904) 771-1116
- **Practice address fax:** (904) 394-5115
- **Mailing address:** 7685 103RD ST STE 1, JACKSONVILLE, FL 32210-9326
- **Mailing address phone:** (904) 771-1116
- **Mailing address fax:** (904) 394-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2022
- **Last updated:** 05/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7685 | LOCATION | FL |