Premier Healthcare Of Florida | |
4737 Old Canoe Creek Road Saint Cloud FL 34769-0000 | |
(407) 892-3627 | |
(407) 892-3625 |
Full Name | Premier Healthcare Of Florida |
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Speciality | Family Medicine |
Location | 4737 Old Canoe Creek Road, Saint Cloud, Florida |
Authorized Official Name and Position | Ketty Maurice (PRESIDENT) |
Authorized Official Contact | 4078923627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Healthcare Of Florida Po Box 702382 Saint Cloud FL 34770-2382 Ph: (407) 892-3627 | Premier Healthcare Of Florida 4737 Old Canoe Creek Road Saint Cloud FL 34769-0000 Ph: (407) 892-3627 |
NPI Number | 1417180043 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 09/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417180043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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