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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EAST FLORIDA PREMIUM MEDICAL CARE

NPI Number 1326312125
LBN Legal business name EAST FLORIDA PREMIUM MEDICAL CARE
Authorized official ERROL CAMPBELL - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2012
Last updated 11/18/2022 - About 4 years ago
Identifiers
FL License # ME80593
FL Medicaid 000758100
FL Medicaid 109864400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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