Organization
AMG PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCY GEEVARGHESE (CEO)
(813) 444-8498
Entity
Organization
Contact information
Practice address
2533 CROSS MORE ST, VALRICO, FL 33594-4640
(813) 444-8498
Mailing address
PO BOX 2003, VALRICO, FL 33595-2003
(813) 444-8498
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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