NPI 1053749887

Primary Care Agency, LLC

Organisation Exclusive Provider Organization Miami Beach, FL

Practice location

Address: 1680 Michigan Ave Suite 700, Miami Beach, FL 33139-2538
Phone: (305) 924-4118
Fax: (847) 919-3507

Authorised official

Name: Zinovy Dralyuk
Title: President
Phone: (305) 924-4118

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1053749887
Entity type: Organization
NPI issued: 14 Oct 2013
Record last updated: 14 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.