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PREMIER MEDICAL ASSOCIATES ALL FLORIDA LLC NPI 1093829442


NPI Information

NPI: 1093829442
Provider Name: PREMIER MEDICAL ASSOCIATES ALL FLORIDA, LLC

Doing Business As: PREMIER MEDICAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1580 SANTA BARBARA BLVD
SUITE C
THE VILLAGES, FL
ZIP 32159
Phone: (352) 259-2159
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PREMIER MEDICAL ASSOCIATES ALL FLORIDA, LLC is an internal medicine in The Villages, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PREMIER MEDICAL ASSOCIATES ALL FLORIDA, LLC NPI is 1093829442. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Medical Associates.

The provider's business location address is:

1580 SANTA BARBARA BLVD
SUITE C
THE VILLAGES, FL
ZIP 32159
Phone: (352) 259-2159
Fax: (352) 259-5731

The provider's authorized official is Cynthia Romska .
The authorized official title is Credentialing Specialist and has the following contact phone number (352) 259-2159.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 11/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyME95629FLORIDANo
2363LA2200XNurse PractitionerAdult HealthARNP3378652FLORIDANo
3207R00000XInternal MedicineME0069935FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004699000MEDICAIDFLORIDA
2K3300OTHERFLORIDAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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