Organization
PRIME-CARE 12, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORENCIO PASCUAL NERI JR. M.D. (PRESIDENT)
(304) 425-0085
Entity
Organization
Contact information
Practice address
702 STAFFORD DR, PRINCETON, WV 24740-2406
(304) 425-0085
(304) 425-6283
Mailing address
702 STAFFORD DR, PRINCETON, WV 24740-2406
(304) 425-0085
(304) 487-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11431
WV
Other
Enumeration date
09/20/2006
Last updated
02/03/2010
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