| Organization Name: | SOUTH FLORIDA PRIMARY CARE L.L.C. |
| NPI Number: | 1124371281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAUL ORLANDO CANER (OWNER) |
| Mailing Address: | 8333 W Mcnab Rd Ste 113 Tamarac |
| State: | FL US |
| Postal Code: | 333213203 |
| Phone Number: | 7542228524 |
| Fax Number: | 7542228596 |
| NPI Enumeration Date: | 10/25/2012 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |