| Organization Name: | PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA, INC. |
| NPI Number: | 1356679989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVORY J CHRISTEN (VICE PRESIDENT) |
| Mailing Address: | 102 Ne 2nd Ave Hallandale Beach |
| State: | FL US |
| Postal Code: | 330094212 |
| Phone Number: | 9548940522 |
| Fax Number: | 9549641244 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ARNP1714142 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |