PRIMARY CARE 369 LLC (NPI# 1760034300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760034300 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE 369 LLC |
| Practice Address |
9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704 |
| Mailing Address |
8990 Lakeview Pl Parkland FL 33076-4122 |
| Practice Telephone | 5613150198 |
| Mailing Telephone | 9548015172 |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | DR. GAYATRI SIRAM (OWNER) |
| Authorized Official Telephone | 5613150198 |
| Authorized Official Credential | MD |
| 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 |
9980 CENTRAL PARK BLVD N STE 314 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801423348 | Bright Mind Clinic LLC | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 314, Boca Raton, FL 33428-1704 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1881181667 | Men's Medical New York, Pa | Clinic/Center | 9070 Kimberly Blvd Ste 48, Boca Raton, FL 33434-2861 | 2018-04-17 |
| 1487018404 | Alex Scheuermann, LLC | Clinic/Center | 7001 N Federal Hwy, Boca Raton, FL 33487-1612 | 2016-04-06 |
| 1033460514 | Deborah Shlian | Clinic/Center | 3148 Nw 63rd St, Boca Raton, FL 33496-3311 | 2012-09-25 |
| 1093090706 | Apex Wellness Center | Clinic/Center | 455 Nw 35th St # 102, Boca Raton, FL 33431-5707 | 2011-10-13 |
| 1053620054 | Mushfeka Consulting LLC | Clinic/Center | 9442 Boca River Cir, Boca Raton, FL 33434-3970 | 2010-09-25 |
| 1568523652 | Family Medicine of Boca Raton Associates LLC | Clinic/Center | 5458 Town Center Rd Ste 21, Boca Raton, FL 33486-1009 | 2006-12-12 |
| 1174145650 | Boca General and Family Medicine | Clinic/Center | 1500 Nw 10th Ave Ste 101, Boca Raton, FL 33486-1344 | 2020-05-07 |
| 1053879338 | Daniel R. Deakter, M.d.pa | Clinic/Center | 7035 Beracasa Way Ste 104, Boca Raton, FL 33433-3454 | 2019-03-06 |
| 1871099879 | Acute Care Physicians, LLC | Clinic/Center | 17940 S Military Trl Ste 300, Boca Raton, FL 33496-2412 | 2018-03-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on PRIMARY CARE 369 LLC.
| 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.