Organization
AVE MARIA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINA MENA (OFFICE MANAGER)
(239) 322-0917
Entity
Organization
Contact information
Practice address
5080 ANNUNCIATION CIR UNIT 103, AVE MARIA, FL 34142-9655
(239) 322-0917
(239) 658-5143
Mailing address
5080 ANNUNCIATION CIR UNIT 103, AVE MARIA, FL 34142-9655
(239) 322-0917
(239) 658-5143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/12/2024
Last updated
11/25/2024
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