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General NPI Number Information
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NPI Number | 1245104009
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL CLINIC INC.
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 10240 SW 56TH ST STE 101-102
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City | MIAMI
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State | FL
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Zip | 33165-7071
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Country | US
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Telephone | 786-536-2414
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 SW 56TH ST STE 101-102
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City | MIAMI
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State | FL
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Zip | 33165-7071
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Country | US
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Telephone | 786-536-2414
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Fax | 305-468-3954
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | NATHALY CASTRO STINCER
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Credential | MSN APRN FNP
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Telephone | 786-536-2414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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