PRIMUS MEDICAL GROUP LLC NPI 1336472190

NPI Information

NPI: 1336472190
Provider Name: PRIMUS MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
10817 S JOG RD
SUITE 230
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 634-8888
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PRIMUS MEDICAL GROUP, LLC is a primary care clinic center in Boynton Beach, FL. PRIMUS MEDICAL GROUP, LLC NPI is 1336472190. The provider is registered as an organization entity type.

The provider's business location address is:

10817 S JOG RD
SUITE 230
BOYNTON BEACH, FL
ZIP 33437-911
Phone: (561) 634-8888
Fax: (561) 634-8998

The provider's authorized official is Richard Lucibella .
The authorized official title is Director and has the following contact phone number (561) 634-8888.

The enumeration date for this NPI number is 9/11/2009 and was last updated on 9/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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