NPIMap

Organization Active NPI

Primus Health Network, LLC

  • Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1730369240
Registry record updated Oct 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIMUS HEALTH NETWORK, LLC
Practice address
2240 W Woolbright Rd
Suite 317
Boynton Beach, FL 33426-6332
Phone
(561) 200-0047
NPI assigned
Nov 13, 2007
Last updated
Oct 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2014

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

Authorized official

Name
Mr. Richard John Lucibella
Title
Director
Phone
(877) 817-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2240 W Woolbright Rd
Suite 317
Boynton Beach, FL 33426-6332

Mailing address

2240 W Woolbright Rd
Suite 317
Boynton Beach, FL 33426-6332
Phone (561) 200-0047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412380800000",
    "number": "1730369240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT RD",
            "address_2": "SUITE 317",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266332",
            "telephone_number": "561-200-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT RD",
            "address_2": "SUITE 317",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266332",
            "telephone_number": "561-200-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2014-10-04",
        "status": "A",
        "authorized_official_last_name": "LUCIBELLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-817-7826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.