| Organization Name: | PRIMARY CARE IN YOUR HOME LLC |
| NPI Number: | 1003167073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CROKER (OWNER/MANAGER) |
| Mailing Address: | 341 W Minnesota Ave Orange City |
| State: | FL US |
| Postal Code: | 327632205 |
| Phone Number: | 3863165439 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2012 |
| NPI Last Update Date: | 10/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ARNP3333802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |