Pediatric Prime Care
Pediatrics
Pediatric Prime Care is a Port Saint Lucie, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1801 Se Hillmoor Drive, Suite A105, Port Saint Lucie, Florida - 34952-7545. They can be contacted on phone at
772-335-9949 and fax number 772-335-9719.
NPI number (Unique professional ID) for Pediatric Prime Care is
1881093276 which was assigned by NPPES on 21 Aug, 2014 and it was last updated on 21 Aug, 2014.
Pediatric Prime Care license number is
66915 for Pediatrics (208000000X) in Florida.
Pediatric Prime Care is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pediatric Prime Care basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pediatric Prime Care |
|---|
Business Address:
Pediatric Prime Care address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1801 Se Hillmoor Drive, Suite A105
Port Saint Lucie, FL, 34952-7545
United States |
|---|
| Phone Number : | 772-335-9949 |
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| Fax Number : | 772-335-9719 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881093276 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Aug, 2014 |
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| Last Updated On : | 21 Aug, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Prithviraj Sawh |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO |
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| Phone Number : | 772-335-9949 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Prime Care are as mentioned. Primary taxonomy code for Pediatric Prime Care is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 66915 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Prime Care such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ========= | Other | FL | EIN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1801 Se Hillmoor Drive, Suite A105
Port Saint Lucie, FL, 34952-7545
United States |
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| Phone Number : | 772-335-9949 |
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| Fax Number : | 772-335-9719 |
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Business Location:
Patients can refer following map for directions to
Pediatric Prime Care practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.