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NPI Code Detail

MEDICARE: FLORIDA PRIME HEALTH

MEDICARE: FLORIDA PRIME HEALTH
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942936521
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PRIME HEALTH
Provider Business Mailing Address
First Line : PO BOX 15543
Second Line :
City : PLANTATION
State : FL
Zip : 33318-5543
Country : US
Telephone Number : 954-408-4655
Fax Number : 954-408-4656
Provider Business Practice Location Address
First Line : 7540 NW 5TH ST STE 5
Second Line :
City : PLANTATION
State : FL
Zip : 33317-1615
Country : US
Telephone Number : 954-408-4655
Fax Number : 954-408-4656
Authorized Official
Title or Position : PRESIDENT
Name : DR. ABRAHAM ALFONSO-REMIGIO
Credential : MD
Telephone Number : 954-408-4655
Provider Enumeration Date : 07/27/2022
Last Update Date : 10/09/2025

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Directions to “FLORIDA PRIME HEALTH ” Practice Location

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