Premise Health Of Florida Medical, P.A. in Lake Buena Vista - Primary Care

Premise Health Of Florida Medical, P.A. - NPI 1831346642

Premise Health Of Florida Medical, P.A. is a Primary Care in Lake Buena Vista, Florida. Premise Health Of Florida Medical, P.A. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Premise Health Of Florida Medical, P.A. is 1831346642. The last update date is 2022-08-09.

Premise Health Of Florida Medical, P.A.'s current location address is 960 Back Stage Ln, Lake Buena Vista, Florida. You can contact this provider via phone number 4079344100 and fax number 4079344101. The mailing address for Premise Health Of Florida Medical, P.A. is 960 Back Stage Ln, Lake Buena Vista, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Premise Health Of Florida Medical, P.A.
Address 960 Back Stage Ln, Lake Buena Vista, Florida
Phone Number 4079344100
Fax Number 4079344101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Leizman Jonathan
Credentials MD
Telephone Number 2164799063

NPI Number Detail

NPI Number 1831346642
Provider Enumeration Date 2008-08-22
Last Updated Date 2022-08-09

Provider Mailing Address Detail

Address 960 Back Stage Ln
City Lake Buena Vista
State Florida (FL)
Post Code 328308472
Phone Number 4079344100
Fax Number 4079344101

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about Premise Health Of Florida Medical, P.A.

What is the unique identifier code issued to Premise Health Of Florida Medical, P.A. by the Centers for Medicare & Medicaid Services (CMS)?

The Premise Health Of Florida Medical, P.A. has been assigned the NPI (National Provider Identifier) 1831346642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Premise Health Of Florida Medical, P.A. is physically located?

The Premise Health Of Florida Medical, P.A. is physically situated at the following address: 960 Back Stage Ln, Lake Buena Vista, FL, 328308472.

What is Premise Health Of Florida Medical, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Premise Health Of Florida Medical, P.A. is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.

On what date did Premise Health Of Florida Medical, P.A. receive its 1831346642 assignment from the Centers for Medicare & Medicaid Services?

The Premise Health Of Florida Medical, P.A. was assigned its 1831346642 on 2008-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Premise Health Of Florida Medical, P.A.'s details last updated?

The information pertaining to the Premise Health Of Florida Medical, P.A., including its address, specialty, and other details, was most recently updated on 2022-08-09.

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