| Primomd, Llc | |
|
3040 N Wickham Rd Suite 6 Melbourne FL 32935 | |
| (321) 226-8607 | |
| Not Available |
| Full Name | Primomd, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3040 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | Anthony Schirripa (MEDICAL DIRECTOR/CEO) |
| Authorized Official Contact | 3212268607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primomd, Llc 3040 N Wickham Rd Suite 6 Melbourne FL 32935 Ph: (321) 226-8607 | Primomd, Llc 3040 N Wickham Rd Suite 6 Melbourne FL 32935 Ph: (321) 226-8607 |
| NPI Number | 1083484984 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 4688010473 |
|---|---|
| Medicare Enrollment ID | O20240315000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083484984 | NPI | - | NPPES |
| Provider Name | Anthony Schirripa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396997185 PECOS PAC ID: 2365503323 Enrollment ID: I20240315000359 |
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