Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Medical Care Center IV, Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1538872528

Primary Medical Care Center IV, Inc is a Geriatric Medicine (Family Medicine) Physician in Mangonia Park, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1233 45th St Ste B4
Mangonia Park, FL 33407-2162
Phone: (561) 250-0000
Fax: (888) 365-3056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1538872528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prinston Jean-Gluade — Ceo · (305) 345-1369
Other names Primary Medical Care Center Iv, Inc.
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address11500 Nw 7th Ave, Miami, FL 33168-2506