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Organization
FLORIDA FAMILY PRIMARY CARE CENTERS OF PINELLAS, LLC
Active
Organization
FLORIDA FAMILY PRIMARY CARE CENTERS OF PINELLAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO 'BUTCH' BRAVO (CEO)
(305) 905-1399
Entity
Organization
Contact information
Practice address
6245 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 873-3891
(727) 873-3892
Mailing address
6245 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 873-3891
(727) 873-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/25/2014
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