Primed | |
5011 N Ocean Blvd Suite 5 Ocean Ridge FL 33435-7355 | |
(877) 817-7886 | |
(877) 817-7886 |
Full Name | Primed |
---|---|
Speciality | Clinic/center |
Location | 5011 N Ocean Blvd, Ocean Ridge, Florida |
Authorized Official Name and Position | Richard John Lucibella (PRESIDENT) |
Authorized Official Contact | 8778177886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primed 5011 N Ocean Blvd Suite 5 Ocean Ridge FL 33435-7355 Ph: (877) 817-7886 | Primed 5011 N Ocean Blvd Suite 5 Ocean Ridge FL 33435-7355 Ph: (877) 817-7886 |
NPI Number | 1396926697 |
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Provider Enumeration Date | 11/15/2007 |
Last Update Date | 11/15/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396926697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |