Provider Demographics
NPI:1396371548
Name:FLORIDA PRIMARY PHYSICIANS
Entity Type:Organization
Organization Name:FLORIDA PRIMARY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-214-3170
Mailing Address - Street 1:3900 CLARK RD STE L2
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2375
Mailing Address - Country:US
Mailing Address - Phone:386-214-3170
Mailing Address - Fax:
Practice Address - Street 1:3900 CLARK RD STE L2
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2375
Practice Address - Country:US
Practice Address - Phone:941-248-3876
Practice Address - Fax:941-248-3877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty