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Organization

PRIMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ROBERT UTZ (SNSD)
(407) 712-4235
Entity
Organization

Contact information

Practice address
114 W ORANGE ST, ALTAMONTE SPRINGS, FL 32714-2537
(407) 869-4332
(866) 222-3034
Mailing address
7025 COUNTY ROAD 46A, 1071-515, LAKE MARY, FL 32746-4721
(407) 869-4332
(866) 551-3034

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
A270637
FL

Other

Enumeration date
08/17/2016
Last updated
08/17/2016
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