Organization
FLORIDA FAMILY PRIMARY CARE CENTER OF PASCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO BUTCH BRAVO (CEO)
(305) 905-1399
Entity
Organization
Contact information
Practice address
7463 STATE ROAD 52, HUDSON, FL 34667-6714
(727) 873-3891
Mailing address
PO BOX 13188, TAMPA, FL 33681-3188
(727) 873-3891
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
FL
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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