| Prime Health Aco, Llc | |
|
7685 103rd St Ste 1 Jacksonville FL 32210-9326 | |
| (904) 771-1116 | |
| (904) 394-5115 |
| Full Name | Prime Health Aco, Llc |
|---|---|
| Speciality | General Practice |
| Location | 7685 103rd St Ste 1, Jacksonville, Florida |
| Authorized Official Name and Position | Syed S Hussain (MANAGING DIRECTOR) |
| Authorized Official Contact | 9047711116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Aco, Llc 7685 103rd St Ste 1 Jacksonville FL 32210-9326 Ph: (904) 771-1116 | Prime Health Aco, Llc 7685 103rd St Ste 1 Jacksonville FL 32210-9326 Ph: (904) 771-1116 |
| NPI Number | 1821734716 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821734716 | NPI | - | NPPES |
| 7685 | Other | FL | LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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