National Provider Identifier Database

EAST FLORIDA PREMIUM MEDICAL CARE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

EAST FLORIDA PREMIUM MEDICAL CARE
7421 N. UNIVERSITY DRIVE
STE 314
TAMARAC, FL33321
Phone: 954-724-3440
Fax: 954-724-3494
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for EAST FLORIDA PREMIUM MEDICAL CARE

NPI Number 1326312125
Legal business name
LBN
EAST FLORIDA PREMIUM MEDICAL CARE
Authorized official ERROL CAMPBELL - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/27/2012
Last updated 11/18/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME80593
  • FL Medicaid: 000758100
  • FL Medicaid: 109864400

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EAST FLORIDA PREMIUM MEDICAL CARE

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