| Primecare Advantage, Llc | |
|
141 Nw 35th Ct Oakland Park FL 33309-5209 | |
| (954) 200-4571 | |
| Not Available |
| Full Name | Primecare Advantage, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 141 Nw 35th Ct, Oakland Park, Florida |
| Authorized Official Name and Position | Kimberly Hay (CEO) |
| Authorized Official Contact | 9542004571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Advantage, Llc 141 Nw 35th Ct Oakland Park FL 33309-5209 Ph: (954) 200-4571 | Primecare Advantage, Llc 141 Nw 35th Ct Oakland Park FL 33309-5209 Ph: (954) 200-4571 |
| NPI Number | 1679843155 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679843155 | NPI | - | NPPES |
| 002207000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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