Organization
PATIENTS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIJEAN FACKLER ARNP (MANAGING MEMBER)
(352) 629-8088
Entity
Organization
Contact information
Practice address
4413 NW BLITCHTON RD, OCALA, FL 34482-4056
(352) 629-8088
(352) 629-1962
Mailing address
PO BOX 771706, OCALA, FL 34477-1706
(352) 629-8088
(352) 629-1962
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POO269817
MEDICARE RAILROAD
FL
Enumeration date
09/20/2007
Last updated
09/10/2008
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