Provider Demographics
NPI:1811121205
Name:EAST FLORIDA PRIMARY CARE LLC
Entity type:Organization
Organization Name:EAST FLORIDA PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-741-7500
Mailing Address - Street 1:8395 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7301
Mailing Address - Country:US
Mailing Address - Phone:954-741-7500
Mailing Address - Fax:954-741-7330
Practice Address - Street 1:8395 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7301
Practice Address - Country:US
Practice Address - Phone:954-741-7500
Practice Address - Fax:954-741-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty