Organization
PRIMARY CARE MEDICAL CENTERS OF SOUTH FLORIDA LLC
Active
Other names
Primary Care Medical Centers of South Florida LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA FONSECA (PRESIDENT)
(786) 375-0036
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 420, HIALEAH, FL 33012-2978
(786) 703-3085
(786) 703-3086
Mailing address
1840 W 49TH ST STE 420, HIALEAH, FL 33012-2978
(786) 375-0036
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/14/2019
Last updated
04/19/2021
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