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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

NPI # 1093356685
LBN Legal business name PRIMARY CARE SOUTH, INC
Authorized official KIMMIE HUNTER - (CREDENTIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2019
Last updated 10/10/2022 - About 4 years ago
Identifiers
FL Medicaid 104684300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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