Palmetto Primary Care Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALMETTO PRIMARY CARE ASSOCIATES, LLC

Practice address

1003 17TH St W
Palmetto, FL 34221-3021

Phone

(813) 269-6426

Fax

(813) 342-5261

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Jeanine Perez

Title

Admin

Phone

(813) 269-6426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1699318840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426",
            "fax_number": "813-342-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 17TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213021",
            "telephone_number": "813-269-6426",
            "fax_number": "813-342-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PRIMARY CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "813-269-6426"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.