PHYSICIANS PRIMARY CARE LLC NPI 1558694422

NPI Information

NPI: 1558694422
Provider Name: PHYSICIANS PRIMARY CARE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2020 KINGSLEY AVE STE D
ORANGE PARK, FL
ZIP 32073
Phone: (904) 213-1776
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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	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QH0100X	Clinic/Center	Health Service	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: 4/28/2024

NPI Synchronization or Removal

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