Provider Demographics
NPI:1437824596
Name:PRIME MEDICAL CENTERS LLC
Entity Type:Organization
Organization Name:PRIME MEDICAL CENTERS LLC
Other - Org Name:PRIME MENS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-990-8134
Mailing Address - Street 1:5353 N FEDERAL HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3236
Mailing Address - Country:US
Mailing Address - Phone:954-990-8134
Mailing Address - Fax:954-990-8634
Practice Address - Street 1:515 W LAKE ST STE F
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2981
Practice Address - Country:US
Practice Address - Phone:612-930-4848
Practice Address - Fax:612-930-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty