North Port Primary Care Association Pl

NPI 1003133455 - Internal Medicine - 207R00000X

NPI Details
NPI 1003133455
Enumeration Date 04/26/2010
Last Updated 04/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GIRISH D GIRISH
Position OWNER
Phone (941) 429-4744
Fax (941) 429-5754
Practice Location
2500 BOBCAT VILLAGE CENTER RD UNIT E
NORTH PORT FL, 34288-8476, US
Phone (941) 429-4744
Fax (941) 429-5754
Business Location
PO BOX 7825
NORTH PORT FL, 34290-0825, US
Phone (941) 429-4744
Fax (941) 429-4754
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME95735
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According to our database, North Port Primary Care Association Pl NPI is 1003133455, taxonomy code is 207R00000X and license number is ME95735, license state is located at Florida. North Port Primary Care Association Pl physically located at 2500 Bobcat Village Center Rd Unit E, North Port FL, 34288-8476. NPI Number 1033115704 has the healthcare provider type.

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1003133455 NPI number is provided on an as is basis without warranty of any kind. 1003133455 is maintained by the National Plan & Provider Enumeration System. The contents of North Port Primary Care Association Pl are for informational purposes only.