Organization
PRIMARY MEDICAL CARE INC
Active
Organization
PRIMARY MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO AVELLANEDA (OWNER)
(305) 635-1614
Entity
Organization
Contact information
Practice address
3413 NW 17TH AVE, MIAMI, FL 33142-5537
(305) 635-1614
(305) 635-7476
Mailing address
3413 NW 17TH AVE, MIAMI, FL 33142-5537
(305) 635-1614
(305) 635-7476
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268338500
—
FL
01
—
HCC4760
AHCA
FL
Enumeration date
07/12/2006
Last updated
09/23/2008
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