Organization
PRIMARILY YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BROOKS (CO-OWNER)
(501) 504-3307
Entity
Organization
Contact information
Practice address
239 AUGUST FERN LOOP, MOUNT DORA, FL 32757-2806
(352) 316-7205
(870) 408-4059
Mailing address
18848 US HIGHWAY 441 # 423, MOUNT DORA, FL 32757-6700
(870) 408-4059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/11/2022
Last updated
03/07/2023
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