Provider Demographics
NPI:1811388242
Name:PRIMARY HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:PRIMARY HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-505-6178
Mailing Address - Street 1:12741 SW 42ND ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3429
Mailing Address - Country:US
Mailing Address - Phone:786-505-6178
Mailing Address - Fax:786-504-9672
Practice Address - Street 1:12741 SW 42ND ST
Practice Address - Street 2:SUITE 108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3429
Practice Address - Country:US
Practice Address - Phone:786-505-6178
Practice Address - Fax:786-504-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100581261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center