Organization
DR K PRIMARY CARE, LLC
Active
Other names
Dr K Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA KARAKOSSIAN MD (OWNER)
(386) 382-7177
Entity
Organization
Contact information
Practice address
3801 WOODBRIAR TRL, PORT ORANGE, FL 32129-9627
(386) 382-7177
Mailing address
PO BOX 612, NEW SMYRNA BEACH, FL 32170-0612
(386) 382-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
06/22/2022
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