| Primary Care In Your Home Llc | |
|
341 W Minnesota Ave Orange City FL 32763-2205 | |
| (386) 316-5439 | |
| Not Available |
| Full Name | Primary Care In Your Home Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 341 W Minnesota Ave, Orange City, Florida |
| Authorized Official Name and Position | John Croker (OWNER/MANAGER) |
| Authorized Official Contact | 3863165439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care In Your Home Llc 341 W Minnesota Ave Orange City FL 32763-2205 Ph: (386) 316-5439 | Primary Care In Your Home Llc 341 W Minnesota Ave Orange City FL 32763-2205 Ph: (386) 316-5439 |
| NPI Number | 1003167073 |
|---|---|
| Provider Enumeration Date | 09/30/2012 |
| Last Update Date | 10/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003167073 | NPI | - | NPPES |
| 305918900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP3333802 (Florida) | Primary |
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