Prime Care Medical Centers LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIME CARE MEDICAL CENTERS LLC

Practice address

1400 Havendale Blvd NW Ste 3
Winter Haven, FL 33881-5302

Phone

(863) 294-3109

Fax

(863) 293-0078

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

David R ThomsenNPI 1336118827

Title

Owner

Phone

(863) 294-3109

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Riley Thomsen, D.C.

  • Chiropractor
  • Winter Haven, FL
  • NPI 1336118827
  NPD Authorized official
• Tyeler Chase Berry, DC

  • Chiropractor
  • Columbia, SC
  • NPI 1821408832
  NPD (past)
• Jason Tucker Thomsen, DC

  • Chiropractor
  • Provo, UT
  • NPI 1932676624
  NPD (past)

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1336508449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAVENDALE BLVD NW STE 3",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815302",
            "telephone_number": "863-294-3109",
            "fax_number": "863-293-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAVENDALE BLVD NW STE 3",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815302",
            "telephone_number": "863-294-3109",
            "fax_number": "863-293-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-294-3109"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassia Grace Price
• Blas Christian Prieto, DO
• Jose Luis Prieto, D.O.
• Primary Choice Medical Supplies LLC
• Prime Care Chiropractic Centers,P.a.
• Prime Radiology of Winter Haven, Inc.
• Priority Care Inc
• Priority Health Chiropractic LLC
• Pro Services Medical Supply LLC
• Professional Dermatology Associates

• General Practice Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.