Organization
PRIMECARE RENAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL LOPEZ LIMA (MGR)
(305) 746-3907
Entity
Organization
Contact information
Practice address
78 SW 13TH AVE STE 205, MIAMI, FL 33135-2479
(305) 746-3907
Mailing address
78 SW 13TH AVE STE 205, MIAMI, FL 33135-2479
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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