| Largo Primary Care Llc | |
|
1258 W Bay Dr Suite A Largo FL 33770-2242 | |
| (727) 585-5431 | |
| (727) 585-1543 |
| Full Name | Largo Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1258 W Bay Dr, Largo, Florida |
| Authorized Official Name and Position | Christina Ann Vazquez (OFFICE MANAGER) |
| Authorized Official Contact | 7275855431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Largo Primary Care Llc 1258 W Bay Dr Suite A Largo FL 33770-2242 Ph: (727) 585-5431 | Largo Primary Care Llc 1258 W Bay Dr Suite A Largo FL 33770-2242 Ph: (727) 585-5431 |
| NPI Number | 1558540534 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 03/13/2009 |
| Medicare PECOS PAC ID | 8224066501 |
|---|---|
| Medicare Enrollment ID | O20050728000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558540534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0062810 (Florida) | Primary |
| Provider Name | Kirti K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487661047 PECOS PAC ID: 2769410042 Enrollment ID: I20050729000187 |
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