Dade City Primary Care Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DADE CITY PRIMARY CARE CENTER

Practice address

36739 State Road 52
Dade City, FL 33525-5101

Phone

(727) 458-7461

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Bo Haddle

Title

Operations Manager

Phone

(727) 458-7461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1194034744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36739 STATE ROAD 52",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36739 STATE ROAD 52",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255101",
            "telephone_number": "727-458-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE CITY PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HADDLE",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "727-458-7461"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiria Cuevas
• Rebecca Curtin, RBT
• Miriam R Curtis, RBT
• Dade City Chiropractic
• Dade City FL Opco LLC (Dade City Health and Rehabilitation Center)
• Dade City Urgent Care Center PLLC
• Kate Bridget Dagon
• Jordan Lee Dale
• Ludisbel Danchik
• Isabella Davila

• Internal Medicine Physician in Dade City, FL
• Providers in Dade City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.