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1184854465
PRIMECARE FAMILY MEDICINE LLC
DAYTONA BEACH, FL
NPI
1184854465
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Entity Type
Organization
Authorized Contact
JOHNSIE CAROL GRIGG
President
386-274-2212
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME47294)
Enumeration Date
2009-07-21
Last Update Date
2009-07-21
Business Address
PRIMECARE FAMILY MEDICINE LLC
1890 LPGA BLVD SUITE 130
DAYTONA BEACH, FL 32117-7130
Phone number: 386-274-2212
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Mailing Address
PRIMECARE FAMILY MEDICINE LLC
1890 LPGA BLVD SUITE 130
DAYTONA BEACH, FL 32117-7130
Phone number: 386-274-2212
Copy
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