OrganizationPrimecare Of South Florida Inc.Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7201(561) 750-9900PECOS EnrollmentBased on the most recent information from CMS, provider Primecare Of South Florida Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1962531145Provider TypeOrganizationFull NamePrimecare Of South Florida Inc.SubpartNoEnumeration Date3/5/2007Last Updated3/26/2014Contact InformationPractice LocationPractice Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7201Phone(561) 750-9900Fax(561) 368-7790Mailing LocationMailing Address2499 Glades Rd, Suite 301, Boca Raton, FL 33431-7201Phone(561) 750-9900Fax(561) 368-7790Authorized OfficialNameGirard, John P (Physician)Phone(561) 750-9900Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID02108DescriptionOtherIssuerBCBSFloridaID110810BDescriptionOtherIssuerHUMANAFloridaID02108YDescriptionOtherIssuerNEW MEDICARE PERSONALFloridaID104722DescriptionOtherIssuerAVMEDFloridaID2494943DescriptionOtherIssuerAETNAFloridaID02108ZDescriptionOtherIssuerOLD MEDICARE PERSONALFloridaID110197990DescriptionOtherIssuerMEDICARE RAILROADFlorida