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1811463961
ISLAND DIRECT PRIMARY CARE LLC
MERRITT ISLAND, FL
NPI
1811463961
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Entity Type
Organization
Authorized Contact
JOHN WESLEY ROTHWELL
President
321-506-2540
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2018-10-16
Last Update Date
2022-03-27
Business Address
ISLAND DIRECT PRIMARY CARE LLC
390 N COURTENAY PKWY
MERRITT ISLAND, FL 32953-3456
Phone number: 321-506-2540
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Mailing Address
ISLAND DIRECT PRIMARY CARE LLC
210 HICKORY AVE
MERRITT ISLAND, FL 32953-4368
Phone number: 321-506-2540
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