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1427424811
PRIME HEALTHCARE LLC
TAMPA, FL
NPI
1427424811
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Entity Type
Organization
Authorized Contact
RAFAEL BONA
Sole Mbr
727-439-2677
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
PRIME HEALTHCARE LLC
4319 E 7TH AVE SUITE 103
TAMPA, FL 33605-4628
Phone number: 727-439-2677
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Mailing Address
PRIME HEALTHCARE LLC
4319 E 7TH AVE SUITE 103
TAMPA, FL 33605-4628
Phone number: 727-439-2677
Copy
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