# PRIMEMED PHYSICIAN NETWORK, LLC

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

## Provider details

- **NPI number:** 1891181319
- **Authorized official:** MR. RUBEN NUNEZ (REGISTERED AGENT)
- **Authorized official phone:** (305) 264-0778

## Contact information

- **Practice address:** 6100 BLUE LAGOON DR, SUITE 430, MIAMI, FL 33126-2079
- **Practice address phone:** (305) 264-0778
- **Mailing address:** 6100 BLUE LAGOON DR, SUITE 430, MIAMI, FL 33126-2079
- **Mailing address phone:** (305) 264-0778

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2015
- **Last updated:** 04/10/2015