Organization
PEDIATRIC PRIME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITHVI RAJ SAWH M.D. (CEO)
(772) 335-9949
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DRIVE, SUITE A105, PORT SAINT LUCIE, FL 34952-7545
(772) 335-9949
(772) 335-9719
Mailing address
1801 SE HILLMOOR DRIVE, SUITE A105, PORT SAINT LUCIE, FL 34952-7545
(772) 335-9949
(772) 335-9719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66915
FL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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