NPI 1316192867

Mariner Primecare Medical Center LLC

Organisation General Practice Physician Spring Hill, FL

Practice location

Address: 7056 Mariner Blvd, Spring Hill, FL 34609-1000
Phone: (352) 597-5557
Fax: (352) 597-0552

Authorised official

Name: Martin Revello
Title: President
Phone: (813) 514-6750

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence ME83175 (FL)

Other General Practice providers in Florida →

Registry record

NPI: 1316192867
Entity type: Organization
NPI issued: 25 Nov 2008
Record last updated: 25 Nov 2008

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.