Primed Healthcare Pa in Kissimmee - Cardiovascular Disease

Primed Healthcare Pa - NPI 1194833814

Primed Healthcare Pa is a Cardiovascular Disease in Kissimmee, Florida. Primed Healthcare Pa practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Primed Healthcare Pa is 1194833814. The last update date is 2014-04-30.

Primed Healthcare Pa's current location address is 302 West Bass St, Kissimmee, Florida. You can contact this provider via phone number 4075187999 and fax number 4075189766. The mailing address for Primed Healthcare Pa is 302 West Bass St, Kissimmee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Primed Healthcare Pa
Address 302 West Bass St, Kissimmee, Florida
Phone Number 4075187999
Fax Number 4075189766
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jimenez Rafael
Credentials MD
Telephone Number 4075187999

NPI Number Detail

NPI Number 1194833814
Provider Enumeration Date 2006-08-25
Last Updated Date 2014-04-30

Provider Mailing Address Detail

Address 302 West Bass St
City Kissimmee
State Florida (FL)
Post Code 347415001
Phone Number 4075187999
Fax Number 4075189766

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME0059612
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
251215700 FL --

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FAQs about Primed Healthcare Pa

What is the Primed Healthcare Pa's unique identification number?

The Primed Healthcare Pa has been assigned the NPI (National Provider Identifier) Number 1194833814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Primed Healthcare Pa is physically located?

The Primed Healthcare Pa is physically situated at the following address: 302 West Bass St, Kissimmee, FL, 347415001.

What is the Primed Healthcare Pa's specialty and taxonomy code?

The Primed Healthcare Pa's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.

On what date did Primed Healthcare Pa receive its 1194833814 assignment from the Centers for Medicare & Medicaid Services?

The Primed Healthcare Pa was assigned its 1194833814 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Primed Healthcare Pa's details last updated?

The information pertaining to the Primed Healthcare Pa, including its address, specialty, and other details, was most recently updated on 2014-04-30.

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