Organization
PRIMECARE ADVANTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HAY (CEO)
(954) 200-4571
Entity
Organization
Contact information
Practice address
141 NW 35TH CT, OAKLAND PARK, FL 33309-5209
(954) 200-4571
Mailing address
141 NW 35TH CT, OAKLAND PARK, FL 33309-5209
(954) 200-4571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002207000
—
FL
Enumeration date
12/30/2011
Last updated
12/30/2011
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