Organization
PRIMEMED PHYSICIAN NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN NUNEZ (REGISTERED AGENT)
(305) 264-0778
Entity
Organization
Contact information
Practice address
6100 BLUE LAGOON DR, SUITE 430, MIAMI, FL 33126-2079
(305) 264-0778
Mailing address
6100 BLUE LAGOON DR, SUITE 430, MIAMI, FL 33126-2079
(305) 264-0778
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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