Organization
FLORIDA PRIMARY PHYSICIANS
Active
Other names
Florida Primary Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(561) 548-1089
Entity
Organization
Contact information
Practice address
4101 NW 4TH ST, SUITE 104, PLANTATION, FL 33317-2850
(954) 587-3805
Mailing address
4101 NW 4TH ST, SUITE 104, PLANTATION, FL 33317-2850
(954) 587-3805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24055
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
06/08/2006
Last updated
08/28/2007
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