PRIMARY CARE OF GAINESVILLE LLC
Ambulatory Health at 2 Ave, Gainesville, FL

License number
Florida ACN101
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ERNESTO J LAMADRID MD
Title: PRESIDENT
Phone: (352) 505-0255
Address
Address
1026 SW 2Nd Ave STE C, Gainesville, FL 32601
National Provider ID: 1558606335
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRIMARY CARE OF GAINESVILLE, LLC

Gainesville, FL

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Doing business as:
Primary Care Of Gainesville
Registration:
Jul 5, 2012
Phone:
(352) 505-0255 (Phone)
Addresses:
1026-C Sw 2 Ave, Gainesville, FL 32601 (Physical)
1026 SW 2 Ave SUITE C, Gainesville, FL 32601 (Mailing)
9258 NW 26 Ave, Gainesville, FL 32606
State ID:
L12000087772
Business type:
Florida Limited Liability Company
S:
Ernesto J Lamadrid (Managing Member), 1026-C Sw 2 Ave, Gainesville, FL 32601 (Physical),Nelida Lamadrid, 1026-C Sw 2 Ave, Gainesville, FL 32601 (Physical)
Agent:
Lamadrid, Ernesto,1026 SW 2 Ave SUITE C, Gainesville, FL 32601 (Physical)
EIN:
45-5625880

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