PRIMECARE LAKE NONA, LLC

ORLANDO, FL
NPI1205128642
Entity TypeOrganization
Authorized ContactJAIME DANIELS
CEO
407-846-8180
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME36463)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
Enumeration Date2011-05-04
Last Update Date2018-06-20
Business Address
PRIMECARE LAKE NONA, LLC
10437 MOSS PARK RD
ORLANDO, FL 32832-5812
Phone number: 407-846-8180
Mailing Address
PRIMECARE LAKE NONA, LLC
222 BROADWAY SUITE 302
KISSIMMEE, FL 34741
Phone number: 407-846-8180