| Premier Mobile Health Solutions, Llc | |
|
4330 Sheridan St Ste 201b Hollywood FL 33021-1406 | |
| (954) 519-2201 | |
| (954) 302-4994 |
| Full Name | Premier Mobile Health Solutions, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4330 Sheridan St Ste 201b, Hollywood, Florida |
| Authorized Official Name and Position | Steve Leykind (ADMINISTRATOR) |
| Authorized Official Contact | 9545192201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mobile Health Solutions, Llc 4330 Sheridan St Ste 201b Hollywood FL 33021-1406 Ph: (954) 519-2201 | Premier Mobile Health Solutions, Llc 4330 Sheridan St Ste 201b Hollywood FL 33021-1406 Ph: (954) 519-2201 |
| NPI Number | 1871866616 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 1658536289 |
|---|---|
| Medicare Enrollment ID | O20120706000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871866616 | NPI | - | NPPES |
| 008025600 | Medicaid | FL |
| Provider Name | Jaimy H Bensimon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726962 PECOS PAC ID: 3678470424 Enrollment ID: I20031218000516 |
| Provider Name | Jennifer Nieves-cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700825601 PECOS PAC ID: 7810098068 Enrollment ID: I20070718000649 |
| Provider Name | Glenn Gidseg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417935990 PECOS PAC ID: 3779521299 Enrollment ID: I20091202000239 |
| Provider Name | Latoya Gauntlett-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063999738 PECOS PAC ID: 5991059123 Enrollment ID: I20181120000700 |
| Provider Name | Alsu Leykind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437722782 PECOS PAC ID: 2860890985 Enrollment ID: I20211004003031 |
| Provider Name | Anna Paryzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417559345 PECOS PAC ID: 8325422405 Enrollment ID: I20220908003627 |
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