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1700654167
PREMIUM PRIMARY CARE & WALK-IN CLINIC INC
PORT ST LUCIE, FL
NPI
1700654167
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Entity Type
Organization
Authorized Contact
PATRICK A VERGEL DE DIOS
Ap RN
772-446-0950
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
PREMIUM PRIMARY CARE & WALK-IN CLINIC INC
1801 SE HILLMOOR DR UNIT A-107P
PORT ST LUCIE, FL 34952-7553
Phone number: 772-446-0950
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Mailing Address
PREMIUM PRIMARY CARE & WALK-IN CLINIC INC
1801 SE HILLMOOR DR UNIT A-107P
PORT ST LUCIE, FL 34952-7553
Phone number: 772-446-0950
Copy
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