Prime Health Aco, Llc

LBN: Prime Health Aco, Llc
Prime Health Aco, Llc is an health care organization with primary practice located at 7685 103Rd St Ste 1 , Jacksonville FL 32210-9326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Prime Health Aco, Llc can be contacted via phone (904) 771-1116, or through Hussain, Syed S via phone (904) 771-1116.

Contact Information

Primary practice address
7685 103Rd St Ste 1 Jacksonville FL 32210-9326
Phone: (904) 771-1116
Fax: (904) 394-5115
Website:
Map and Directions
Authorized official contact:
Name: Hussain, Syed S Doctor of Medicine (MD)
Phone: (904) 771-1116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1821734716
LBN Legal business name Prime Health Aco, Llc
DBA Doing business as
Authorized official Hussain, Syed S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821734716 NPPES
Florida Other 7685 LOCATION

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