| NPI | 1902885270 |
|---|---|
| Doing Business As | PRIMARY CARE ASSOC |
| Entity Type | Organization |
| Authorized Contact | ALAN L TANNENBAUM Owner/Primary Officer 239-549-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |