| Primary Care Solutions Jacksonville Llc | |
|
42 Davin Ct Ponte Vedra Beach FL 32082-1840 | |
| (904) 490-0264 | |
| Not Available |
| Full Name | Primary Care Solutions Jacksonville Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 42 Davin Ct, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Katrin Casey (OWNER) |
| Authorized Official Contact | 9044900264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Solutions Jacksonville Llc 42 Davin Ct Ponte Vedra Beach FL 32082-1840 Ph: (904) 490-0264 | Primary Care Solutions Jacksonville Llc 42 Davin Ct Ponte Vedra Beach FL 32082-1840 Ph: (904) 490-0264 |
| NPI Number | 1407555154 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 9739553207 |
|---|---|
| Medicare Enrollment ID | O20230323002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407555154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526649 PECOS PAC ID: 6709030844 Enrollment ID: I20130125000314 |
| Provider Name | Cameron Money Macchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982309985 PECOS PAC ID: 3678930005 Enrollment ID: I20230531000185 |
| Provider Name | Katrina Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043072069 PECOS PAC ID: 3274977368 Enrollment ID: I20240216001136 |
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