Organization
FLORIDA PRIMARY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA PRECIADO OWNER (PRESIDENT)
(954) 606-5656
Entity
Organization
Contact information
Practice address
5890 STIRLING RD, SUITE 5/6, HOLLYWOOD, FL 33021-1542
(954) 606-5656
(954) 606-5657
Mailing address
5890 STIRLING RD, SUITE 5/6, HOLLYWOOD, FL 33021-1542
(954) 606-5656
(954) 606-5657
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC10450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 11100
HCC UNIT
FL
Enumeration date
10/12/2015
Last updated
10/12/2015
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