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NPI Code Detail

MEDICARE: PRIMA HEALTH CARE LLC

MEDICARE: PRIMA HEALTH CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician34004338OH

General Provider Information

NPI Number : 1750318184
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMA HEALTH CARE LLC
Provider Business Mailing Address
First Line : 9471 MARKET ST
Second Line : SUITE B
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-729-2388
Fax Number : 330-629-6468
Provider Business Practice Location Address
First Line : 9471 MARKET STREET
Second Line : SUITE B
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-729-2388
Fax Number : 330-629-6468
Authorized Official
Title or Position : CEO/PRESIDENT
Name : STEVEN M DEMAIOLO
Credential : D.O.
Telephone Number : 330-729-2388
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/02/2016

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Directions to “PRIMA HEALTH CARE LLC ” Practice Location

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