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Organization
PRIME MD LLC
Active
Organization
PRIME MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL ANTONIO PAREDES M.D. (PHYSICIAN OWNER-SHAREHOLDER)
(561) 588-3385
Entity
Organization
Contact information
Practice address
10115 W FOREST HILL BLVD, SUITE 102, WELLINGTON, FL 33414-3105
(561) 588-3385
Mailing address
1650 S CONGRESS AVE, SUITE B, PALM SPRINGS, FL 33461-2175
(561) 588-3385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
04/13/2012
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