Individual
AUSTIN PRIMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
Mailing address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS10187
FL
Other
Enumeration date
08/24/2007
Last updated
01/08/2013
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