Provider Demographics
NPI:1023692043
Name:PRIMEHEALTH PRIMARY CARE LLC
Entity type:Organization
Organization Name:PRIMEHEALTH PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-485-4621
Mailing Address - Street 1:3018 53RD AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-4331
Mailing Address - Country:US
Mailing Address - Phone:941-845-4621
Mailing Address - Fax:941-845-4654
Practice Address - Street 1:8927 US HIGHWAY 301 N # 210
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-8701
Practice Address - Country:US
Practice Address - Phone:941-845-4621
Practice Address - Fax:941-845-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty