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1144083577
PRIME LIFE HEALTH LLC
FORT MYERS, FL
NPI
1144083577
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Entity Type
Organization
Authorized Contact
ORLANDO S RANGEL
Managing Member
813-874-1509
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
PRIME LIFE HEALTH LLC
2621 CLEVELAND AVE
FORT MYERS, FL 33901-5802
Phone number: 813-874-1509
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Mailing Address
PRIME LIFE HEALTH LLC
3411 W TAMPA BAY BLVD
TAMPA, FL 33607-6619
Phone number: 813-874-1509
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