Florida Premier Medical Care Pa

NPI 1770776163 - Internal Medicine - 207R00000X

NPI Details
NPI 1770776163
Enumeration Date 08/20/2007
Last Updated 08/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LUIS JORGE LUIS
Position OWNER
Phone (352) 544-0610
Fax (352) 544-0819
Practice Location
675 HARVARD ST
BROOKSVILLE FL, 34601-2823, US
Phone (352) 544-0610
Fax (352) 544-0819
Business Location
675 HARVARD STREET
BROOKSVILLE FL, 34601, US
Phone (352) 544-0618
Fax (352) 544-0819
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME97854
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According to our database, Florida Premier Medical Care Pa NPI is 1770776163, taxonomy code is 207R00000X and license number is ME97854, license state is located at Florida. Florida Premier Medical Care Pa physically located at 675 Harvard St, Brooksville FL, 34601-2823. NPI Number 1033115704 has the healthcare provider type.

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1770776163 NPI number is provided on an as is basis without warranty of any kind. 1770776163 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Premier Medical Care Pa are for informational purposes only.