| Primary Care Specialist Of Englewood | |
|
900 Pine Street Suite 111 Englewood FL 34223 | |
| (941) 474-9581 | |
| (941) 475-0748 |
| Full Name | Primary Care Specialist Of Englewood |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Pine Street Suite 111, Englewood, Florida |
| Authorized Official Name and Position | Lynette M Llerewa (DIRECTOR) |
| Authorized Official Contact | 9414749581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialist Of Englewood 900 Pine Street Suite 111 Englewood FL 34223 Ph: (941) 474-9581 | Primary Care Specialist Of Englewood 900 Pine Street Suite 111 Englewood FL 34223 Ph: (941) 474-9581 |
| NPI Number | 1578678215 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578678215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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