| NPI | 1093596439 |
|---|---|
| Doing Business As | PRIMECARE, VENICE, LLC |
| Entity Type | Organization |
| Authorized Contact | LEIGH TESAR Nurse Practitioner 941-726-5220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |