FAITHFUL PRIMARY CARE LLC

VENICE, FL
NPI1265120174
Entity TypeOrganization
Authorized ContactJASON E BRADLEY
Owner
941-292-0123
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-04-27
Last Update Date2023-08-16
Business Address
FAITHFUL PRIMARY CARE LLC
200 TAMIAMI TRL N STE A
VENICE, FL 34285-1914
Phone number: 941-292-0123
Mailing Address
FAITHFUL PRIMARY CARE LLC
12161 MERCADO DR # 123
VENICE, FL 34293-1147
Phone number: 941-292-0123
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