Provider Demographics
NPI:1336524883
Name:PRIMEX GROUP, INC.
Entity Type:Organization
Organization Name:PRIMEX GROUP, INC.
Other - Org Name:SUNNY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVIDOMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-306-0000
Mailing Address - Street 1:17070 COLLINS AVE
Mailing Address - Street 2:SUITE 257
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3635
Mailing Address - Country:US
Mailing Address - Phone:305-306-0000
Mailing Address - Fax:305-306-1111
Practice Address - Street 1:17070 COLLINS AVE
Practice Address - Street 2:SUITE 257
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3635
Practice Address - Country:US
Practice Address - Phone:305-306-0000
Practice Address - Fax:305-306-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty