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1720613862
PRIMECARE VENICE LLC
VENICE, FL
NPI
1720613862
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Entity Type
Organization
Authorized Contact
KATIE A SPADA
Ap RN
941-676-3440
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-03-09
Last Update Date
2020-06-12
Business Address
PRIMECARE VENICE LLC
1531 TAMIAMI TRL S STE 703
VENICE, FL 34285-5569
Phone number: 941-676-3440
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Mailing Address
PRIMECARE VENICE LLC
11802 TEMPEST HARBOR LOOP
VENICE, FL 34292-3821
Phone number: 401-480-0839
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