Organization
A & C PRIMARY CARE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M COLON SANTIAGO MD (PRESIDENT)
(787) 718-3984
Entity
Organization
Contact information
Practice address
130 LEE BLVD, B, LEHIGH ACRES, FL 33936-6145
(787) 718-3984
Mailing address
701 RUTH AVE N, LEHIGH ACRES, FL 33971-1479
(787) 718-3984
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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