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PRIMARY CARE PHYSICIANS GROUP NPI 1720424021


NPI Information

NPI: 1720424021
Provider Name: PRIMARY CARE PHYSICIANS GROUP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 10D0989859

Address:
4308 ALTON RD
SUITE 860
MIAMI BEACH, FL
ZIP 33140
Phone: (305) 604-2888
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PRIMARY CARE PHYSICIANS GROUP is an adult health nurse practitioner in Miami Beach, FL. PRIMARY CARE PHYSICIANS GROUP NPI is 1720424021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4308 ALTON RD
SUITE 860
MIAMI BEACH, FL
ZIP 33140-556
Phone: (305) 604-2888
Fax: (305) 604-2887

The provider's authorized official is Gary J Merlino .
The authorized official title is President and has the following contact phone number (305) 604-2888.

The CLIA number assigned to this NPI record is 10D0989859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 5/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health9257323FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121382MEDICARE UPINFLORIDA
2262609800MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.