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Organization
PRIMARY CARE SPECIALISTS LLC
Active
Organization
PRIMARY CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY G MIKELL (GROUP COORDINATOR)
(407) 855-2526
Entity
Organization
Contact information
Practice address
508 N MILLS AVE, SUITE D, ORLANDO, FL 32803-5353
(407) 898-4331
(407) 898-1646
Mailing address
508 N MILLS AVE, SUITE D, ORLANDO, FL 32803-5353
(407) 898-4331
(407) 898-1646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME38692
FL
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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