Healthcare Provider Details

I. General information

NPI: 1992431233
Provider Name (Legal Business Name): MYPRIMARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 MARINER BLVD
SPRING HILL FL
34609-5680
US

IV. Provider business mailing address

495 MARINER BLVD
SPRING HILL FL
34609-5680
US

V. Phone/Fax

Practice location:
  • Phone: 352-397-5188
  • Fax: 352-293-4046
Mailing address:
  • Phone: 352-397-5188
  • Fax: 352-293-4046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN BATISTA
Title or Position: OWNER
Credential: MD
Phone: 352-397-5188