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Contact Information

PREMIER MED PA
2906 17TH ST.
SAINT CLOUD, FL34769
 Phone: 407-543-6306
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for PREMIER MED PA

NPI Number 1053877506
LBN Legal business name PREMIER MED PA
Authorized official JAUVID AYADI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2019
Last updated 10/18/2019 - About 7 years ago
Identifiers n/a
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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