| Awa Primary Care Pllc | |
|
97 Niemira Ave Apt E Indialantic FL 32903-2936 | |
| (407) 579-1616 | |
| (855) 642-2122 |
| Full Name | Awa Primary Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 97 Niemira Ave Apt E, Indialantic, Florida |
| Authorized Official Name and Position | Arilma Milagros Wong Arjona (CEO) |
| Authorized Official Contact | 4075791616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awa Primary Care Pllc 200 N Palm Ave Unit 33451 Indialantic FL 32903-5019 Ph: (407) 579-1616 | Awa Primary Care Pllc 97 Niemira Ave Apt E Indialantic FL 32903-2936 Ph: (407) 579-1616 |
| NPI Number | 1699523340 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699523340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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