| Primary Care Physicians Of Sanford Llc | |
|
309 W 1st St Sanford FL 32771-1205 | |
| (407) 324-5035 | |
| (407) 321-5266 |
| Full Name | Primary Care Physicians Of Sanford Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 309 W 1st St, Sanford, Florida |
| Authorized Official Name and Position | Vincent Joseph Mamone (PRESIDENT) |
| Authorized Official Contact | 4073245035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians Of Sanford Llc 309 W 1st St Sanford FL 32771-1205 Ph: (407) 324-5035 | Primary Care Physicians Of Sanford Llc 309 W 1st St Sanford FL 32771-1205 Ph: (407) 324-5035 |
| NPI Number | 1083873897 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083873897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6401 (Florida) | Primary |
| 208000000X | Pediatrics | OS6404 (Florida) | Secondary |
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