Primary Care Agency, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PRIMARY CARE AGENCY, LLC

Practice address

1680 Michigan Ave
Suite 700
Miami Beach, FL 33139-2538

Phone

(305) 924-4118

Fax

(847) 919-3507

NPI assigned

Oct 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Zinovy Dralyuk

Title

President

Phone

(305) 924-4118

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1053749887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE",
            "address_2": "SUITE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392538",
            "telephone_number": "305-924-4118",
            "fax_number": "847-919-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE",
            "address_2": "SUITE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392538",
            "telephone_number": "305-924-4118",
            "fax_number": "847-919-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "DRALYUK",
        "authorized_official_first_name": "ZINOVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-924-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.