PHYSICIANS PRIMARY CARE LLC NPI 1558694422

NPI Information

  • NPI: 1558694422
  • Provider Name: PHYSICIANS PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 2020 KINGSLEY AVE STE D
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 213-1776

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NPI Details

PHYSICIANS PRIMARY CARE LLC is a health service clinic center in Orange Park, FL. PHYSICIANS PRIMARY CARE LLC NPI is 1558694422. The provider is registered as an organization entity type.

The provider's business location address is:

2020 KINGSLEY AVE STE D
ORANGE PARK, FL
ZIP 32073-139
Phone: (904) 213-1776

The provider's authorized official is Gordon B Garver .
The authorized official title is Mgrm/member and has the following contact phone number (904) 213-1776.

The enumeration date for this NPI number is 9/10/2009 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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2300XClinic/CenterPrimary CareNo
3261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

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