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Organization

PRIMARY CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ZINOVY DRALYUK (PRESIDENT)
(305) 924-4118
Entity
Organization

Contact information

Practice address
1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL 33139-2538
(305) 924-4118
(847) 919-3507
Mailing address
1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL 33139-2538
(305) 924-4118
(847) 919-3507

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
10/14/2013
Last updated
10/14/2013
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