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PREMISE HEALTH OF FLORIDA MEDICAL P.A. NPI 1457886111


NPI Information

NPI: 1457886111
Provider Name: PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Doing Business As: USAA HEALTH SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D0887803

Address:
17200 COMMERCE PARK BLVD
TAMPA, FL
ZIP 33647
Phone: (813) 615-6394
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PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a multi-specialty clinic center in Tampa, FL. PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1457886111. The provider is registered as an organization entity type.
The provider Is Doing Business As Usaa Health Services.

The provider's business location address is:

17200 COMMERCE PARK BLVD
TAMPA, FL
ZIP 33647-600
Phone: (813) 615-6394
Fax: (813) 615-5467

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 10D0887803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 8/15/2022.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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