Primed Healthcare Pa

LBN: Primed Healthcare Pa
Primed Healthcare Pa is an health care organization with primary practice located at 302 West Bass St , Kissimmee FL 34741-5001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Primed Healthcare Pa can be contacted via phone (407) 518-7999, or through Jimenez, Rafael via phone (407) 518-7999.

Contact Information

Primary practice address
302 West Bass St Kissimmee FL 34741-5001
Phone: (407) 518-7999
Fax: (407) 518-9766
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Rafael Doctor of Medicine (MD)
Phone: (407) 518-7999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0059612 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1194833814
LBN Legal business name Primed Healthcare Pa
DBA Doing business as
Authorized official Jimenez, Rafael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 30th, 2014 - about 12 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 1194833814 NPPES
Florida MEDICAID 251215700

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