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Organization
PRIMECARE OF SOUTH FLORIDA INC.
Active
Organization
PRIMECARE OF SOUTH FLORIDA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P GIRARD M.D. (PHYSICIAN)
(561) 750-9900
Entity
Organization
Contact information
Practice address
2499 GLADES RD, SUITE 301, BOCA RATON, FL 33431-7201
(561) 750-9900
(561) 368-7790
Mailing address
2499 GLADES RD, SUITE 301, BOCA RATON, FL 33431-7201
(561) 750-9900
(561) 368-7790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02108
BCBS
FL
01
—
02108Y
NEW MEDICARE PERSONAL
FL
01
—
02108Z
OLD MEDICARE PERSONAL
FL
01
—
104722
AVMED
FL
01
—
110197990
MEDICARE RAILROAD
FL
01
—
110810B
HUMANA
FL
01
—
2494943
AETNA
FL
Enumeration date
03/05/2007
Last updated
03/26/2014
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