Organization Name: | PRIMARY CARE OF CENTRAL FLORIDA |
NPI Number: | 1164724480 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GABRIEL NURIEL (OWNER) |
Mailing Address: | 14365 E Colonial Dr Ste B5 Orlando |
State: | FL US |
Postal Code: | 328265505 |
Phone Number: | 3212350692 |
Fax Number: | 8882531303 |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 11/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS7691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |