Provider Demographics
NPI:1326617614
Name:HEALTH FIRST PRIMARY CARE L.L.C
Entity Type:Organization
Organization Name:HEALTH FIRST PRIMARY CARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DASIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-223-3300
Mailing Address - Street 1:208 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3602
Mailing Address - Country:US
Mailing Address - Phone:813-491-3060
Mailing Address - Fax:
Practice Address - Street 1:3890 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9358
Practice Address - Country:US
Practice Address - Phone:386-756-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH FIRST PRIMARY CARE L.L.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-21
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty