Provider Demographics
NPI:1295331619
Name:PRIMARY CARE 2 YOU LLC
Entity type:Organization
Organization Name:PRIMARY CARE 2 YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:941-740-6100
Mailing Address - Street 1:693 HARTFORD DR NW
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6440
Mailing Address - Country:US
Mailing Address - Phone:941-740-6100
Mailing Address - Fax:941-740-6300
Practice Address - Street 1:693 MARTFORD DR. NW
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE,
Practice Address - State:FL
Practice Address - Zip Code:33952
Practice Address - Country:US
Practice Address - Phone:941-740-6100
Practice Address - Fax:941-740-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty