Healthcare Provider Details

I. General information

NPI: 1710811542
Provider Name (Legal Business Name): PRIME MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20335 BISCAYNE BLVD STE 10
MIAMI FL
33180-1539
US

IV. Provider business mailing address

20335 BISCAYNE BLVD STE 10
MIAMI FL
33180-1539
US

V. Phone/Fax

Practice location:
  • Phone: 718-207-9953
  • Fax:
Mailing address:
  • Phone: 718-207-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: LEON NITKIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-207-9953