Organization
PYRIMED HEALTH SERVICES, LLC
Active
Other names
Pyrimed Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH JOHNSON (CEO)
(954) 399-5887
Entity
Organization
Contact information
Practice address
2100 W 76TH ST, SUITE 313A, HIALEAH, FL 33016-5539
(954) 399-5887
Mailing address
2114 N FLAMINGO RD, SUITE 158, PEMBROKE PINES, FL 33028-3501
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
305R00000X
Preferred Provider Organization
Primary
234273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017242900
—
FL
Enumeration date
08/06/2010
Last updated
09/01/2016
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