| Prime Md Llc | |
|
10115 W Forest Hill Blvd Suite 102 Wellington FL 33414-3105 | |
| (561) 588-3385 | |
| Not Available |
| Full Name | Prime Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10115 W Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Manuel Antonio Paredes (PHYSICIAN OWNER-SHAREHOLDER) |
| Authorized Official Contact | 5615883385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Md Llc 1650 S Congress Ave Suite B Palm Springs FL 33461-2175 Ph: (561) 588-3385 | Prime Md Llc 10115 W Forest Hill Blvd Suite 102 Wellington FL 33414-3105 Ph: (561) 588-3385 |
| NPI Number | 1952538167 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 04/13/2012 |
| Medicare PECOS PAC ID | 9830227065 |
|---|---|
| Medicare Enrollment ID | O20100510000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952538167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Madelyn Paredes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093874174 PECOS PAC ID: 6800968140 Enrollment ID: I20080702000349 |
| Provider Name | Manuel A Paredes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609935709 PECOS PAC ID: 5991868093 Enrollment ID: I20090115000714 |
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