Provider Demographics
NPI:1427517531
Name:PRIME CARE FAMILY HEALTH CENTERS INC
Entity type:Organization
Organization Name:PRIME CARE FAMILY HEALTH CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-252-9485
Mailing Address - Street 1:9780 E INDIGO ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5610
Mailing Address - Country:US
Mailing Address - Phone:305-804-7947
Mailing Address - Fax:
Practice Address - Street 1:1747 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2167
Practice Address - Country:US
Practice Address - Phone:561-508-8609
Practice Address - Fax:561-508-8697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIME CARE FAMILY HEALTH CENTERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty