| Premier Health Care Inc | |
|
218 Pasadena Ave S Saint Petersburg FL 33707-1251 | |
| (727) 345-0160 | |
| Not Available |
| Full Name | Premier Health Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 218 Pasadena Ave S, Saint Petersburg, Florida |
| Authorized Official Name and Position | Vijaya L Cherukuri (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7273450160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Care Inc 9823 Sago Point Dr Largo FL 33777-4905 Ph: (727) 452-4949 | Premier Health Care Inc 218 Pasadena Ave S Saint Petersburg FL 33707-1251 Ph: (727) 345-0160 |
| NPI Number | 1124119151 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 01/02/2008 |
| Medicare PECOS PAC ID | 4284600222 |
|---|---|
| Medicare Enrollment ID | O20040909001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124119151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vijaya L Cherukuri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750375267 PECOS PAC ID: 7113910555 Enrollment ID: I20040403000078 |
| Provider Name | Darshan B Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841455607 PECOS PAC ID: 5092983452 Enrollment ID: I20110729000573 |
| Provider Name | Amy Lynne Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493881 PECOS PAC ID: 0648683235 Enrollment ID: I20201228000894 |
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