Primacare Health, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PRIMACARE HEALTH, LLC

Practice address

5800 49TH Ave N Ste S103
Kenneth City, FL 33709-3563

Phone

(727) 823-4848

Fax

(727) 823-4880

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Haughton

Title

Office Manager

Phone

(727) 823-4848

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1811749062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH AVE N STE S103",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093563",
            "telephone_number": "727-823-4848",
            "fax_number": "727-823-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH AVE N STE S103",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093563",
            "telephone_number": "727-823-4848",
            "fax_number": "727-823-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "HAUGHTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-823-4848"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528064797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradise Gardens Alf
• Krishnan E Parayath, MD
• Seema K Patel, MD
• Cristine Plaza, DPT
• Donna L Powers
• Alexa Radford
• Lisbet Rodriguez Santoyo
• Liliana Batista Rodriguez, RBT
• Hector Julio Rosario
• Gregorio S Santos, MD

• Adult Health Nurse Practitioner in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.