PRIMUS MEDICAL GROUP, LLC (NPI# 1336472190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336472190 |
| Entity Type | Organization |
| Organization Name | PRIMUS MEDICAL GROUP, LLC |
| Practice Address |
10817 S Jog Rd Suite 230 Boynton Beach FL 33437-0911 |
| Practice Telephone | 5616348888 |
| Practice Fax Number | 5616348998 |
| Mailing Telephone | 5616348888 |
| Mailing Fax Number | 5616348998 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | RICHARD LUCIBELLA (DIRECTOR) |
| Authorized Official Telephone | 5616348888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
10817 S JOG RD SUITE 230 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-0911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730365099 | Lynora A Curtis | Dermatology | 10817 S Jog Rd, Suite 236, Boynton Beach, FL 33437-0911 | 2008-01-17 |
| 1558687095 | Curtis Dermatology, P.a. | Dermatology | 10817 S Jog Rd, Suite 236, Boynton Beach, FL 33437-0911 | 2010-04-08 |
| 1669607636 | Cambridge Medical Group of West Boynton LLC | Clinic/Center | 10817 S Jog Rd, Suite 230, Boynton Beach, FL 33437-0911 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1457852840 | Titan Health Team, Inc. | Clinic/Center | 4 Westgate Ln Apt C, Boynton Beach, FL 33436-6358 | 2018-02-22 |
| 1457784084 | Medical Clinics P.a. | Clinic/Center | 499 Boynton Bay Cir, Boynton Beach, FL 33435-2578 | 2013-08-19 |
| 1881032258 | Sara N Garcia Md Pa | Clinic/Center | 625 Se 2nd Ave Ste A, Boynton Beach, FL 33435-5065 | 2013-06-07 |
| 1497152946 | Medcare Now LLC | Clinic/Center | 1050 Gateway Blvd, Ste 101, Boynton Beach, FL 33426-8368 | 2014-11-28 |
| 1669607636 | Cambridge Medical Group of West Boynton LLC | Clinic/Center | 10817 S Jog Rd, Suite 230, Boynton Beach, FL 33437-0911 | 2009-05-20 |
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| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.