Prime M.d | |
31201 Us Highway 19 N St 3 Palm Harbor FL 34684-4422 | |
(727) 741-8355 | |
(339) 230-0927 |
Full Name | Prime M.d |
---|---|
Speciality | Internal Medicine |
Location | 31201 Us Highway 19 N, Palm Harbor, Florida |
Authorized Official Name and Position | John Isaak (MANAGER) |
Authorized Official Contact | 7277418355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prime M.d 31201 Us Highway 19 N St 3 Palm Harbor FL 34684-4422 Ph: (727) 741-8355 | Prime M.d 31201 Us Highway 19 N St 3 Palm Harbor FL 34684-4422 Ph: (727) 741-8355 |
NPI Number | 1306473996 |
---|---|
Provider Enumeration Date | 03/24/2020 |
Last Update Date | 09/14/2024 |
Medicare PECOS PAC ID | 1456780568 |
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Medicare Enrollment ID | O20200409003578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306473996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John Isaak |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1265725519 PECOS PAC ID: 9436398971 Enrollment ID: I20140918000576 |
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