| Prime Care Medical, Inc. | |
|
5621 Strand Blvd Ste 206 Naples FL 34110-7303 | |
| (239) 591-5979 | |
| (239) 308-4547 |
| Full Name | Prime Care Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5621 Strand Blvd Ste 206, Naples, Florida |
| Authorized Official Name and Position | Sajid Wazir (PRESIDENT) |
| Authorized Official Contact | 2395915979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Medical, Inc. 3876 Gibralter Dr Naples FL 34119-8647 Ph: (239) 597-0190 | Prime Care Medical, Inc. 5621 Strand Blvd Ste 206 Naples FL 34110-7303 Ph: (239) 591-5979 |
| NPI Number | 1770717381 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 02/16/2018 |
| Medicare PECOS PAC ID | 0244373397 |
|---|---|
| Medicare Enrollment ID | O20100211000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770717381 | NPI | - | NPPES |
| CS832A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 103428 (Florida) | Primary |
| Provider Name | Sajid Wazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801040829 PECOS PAC ID: 7517000664 Enrollment ID: I20100211000443 |
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