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Contact Information

PRIMARY CARE SOUTH, INC
5551 US HIGHWAY 98
SANTA ROSA BEACH, FL32459
 Phone: 850-420-5420
 Fax: 850-244-8011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRIMARY CARE SOUTH INC · (Female)

NPI Number 1093356685
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2019
Last updated 10/10/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 104684300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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