PRIMARY CARE OF GAINESVILLE LLC NPI 1558606335

NPI Information

NPI: 1558606335
Provider Name: PRIMARY CARE OF GAINESVILLE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2052924

Address:
1026 SW 2ND AVE STE C
GAINESVILLE, FL
ZIP 32601
Phone: (352) 505-0255
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PRIMARY CARE OF GAINESVILLE LLC is a primary care clinic center in Gainesville, FL. PRIMARY CARE OF GAINESVILLE LLC NPI is 1558606335. The provider is registered as an organization entity type.

The provider's business location address is:

1026 SW 2ND AVE STE C
GAINESVILLE, FL
ZIP 32601-182
Phone: (352) 505-0255
Fax: (352) 505-0997

The provider's authorized official is Ernesto J Lamadrid .
The authorized official title is President and has the following contact phone number (352) 505-0255.

The CLIA number assigned to this NPI record is 10D2052924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2012 and was last updated on 2/15/2013.

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	ACN101	FLORIDA	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

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