Primecare Pl in St Augustine - Cardiovascular Disease
Primecare Pl - NPI 1407038169
Primecare Pl is a Cardiovascular Disease in St Augustine, Florida. Primecare Pl practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Primecare Pl is 1407038169. The last update date is 2015-11-18.
Primecare Pl's current location address is 2720 Us Highway 1 S # B, St Augustine, Florida. You can contact this provider via phone number 9048270078 and fax number 9048270140. The mailing address for Primecare Pl is 2720 Us Highway 1 S # B, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primecare Pl |
|---|---|
| Address | 2720 Us Highway 1 S # B, St Augustine, Florida |
| Phone Number | 9048270078 |
| Fax Number | 9048270140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelsey C Robert |
| Credentials | MD |
| Telephone Number | 9048270078 |
NPI Number Detail
| NPI Number | 1407038169 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2015-11-18 |
Provider Mailing Address Detail
| Address | 2720 Us Highway 1 S # B |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320866301 |
| Phone Number | 9048270078 |
| Fax Number | 9048270140 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | ME58662 |
|
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 |
|---|---|---|---|
| 270845101 | FL | -- | |
| 270845104 | FL | -- | |
| 270845106 | FL | -- | |
| 270845102 | FL | -- | |
| 97705 | FL | BCBS | |
| 270845105 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Primecare Pl?
The Primecare Pl has been issued the NPI (National Provider Identifier) 1407038169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Primecare Pl's physical address?
The Primecare Pl is physically located at 2720 Us Highway 1 S # B, in the city of St Augustine, FL, with the postal code 320866301.
What is the Primecare Pl's area of specialization and corresponding taxonomy classification?
The Primecare Pl's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
When was the Primecare Pl's 1407038169 issued?
The Primecare Pl's 1407038169 was issued on 2007-12-04.
As of what date were the Primecare Pl's details last updated?
The information pertaining to the Primecare Pl, including its address, specialty, and other details, was most recently updated on 2015-11-18.
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