| Internal Medicine Prime Care Llc | |
|
8927 Hypoluxo Rd. Ste A3 Lake Worth FL 33467 | |
| (561) 366-7771 | |
| (561) 855-2718 |
| Full Name | Internal Medicine Prime Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8927 Hypoluxo Rd. Ste A3, Lake Worth, Florida |
| Authorized Official Name and Position | Orlando A. Cuadra (OWNER/PROVIDER) |
| Authorized Official Contact | 5613667771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Prime Care Llc 8927 Hypoluxo Rd. Ste A3 Lake Worth FL 33467 Ph: (561) 366-7771 | Internal Medicine Prime Care Llc 8927 Hypoluxo Rd. Ste A3 Lake Worth FL 33467 Ph: (561) 366-7771 |
| NPI Number | 1861087744 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 8224445259 |
|---|---|
| Medicare Enrollment ID | O20210318001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861087744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Orlando A Cuadra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659362051 PECOS PAC ID: 5991749939 Enrollment ID: I20050610000633 |
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