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General NPI Number Information
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NPI Number | 1366211500
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Entity Type | Organization
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Legal Business Name | PREMIER PRIMARY CARE CORPORATION
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 10003 NW 53RD CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2422
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Country | US
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Telephone | 754-215-1674
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Fax |
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Provider Business Mailing Address
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Address Line | 10003 NW 53RD CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2422
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Country | US
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Telephone | 754-215-1674
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. CAMILLE MCDONALD-TOUSSAINT
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Credential | MD
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Telephone | 754-215-1674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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