Premier Mobile Health Services Llc | |
10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 | |
(239) 222-1829 | |
(239) 443-4516 |
Full Name | Premier Mobile Health Services Llc |
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Speciality | Clinic/Center |
Location | 10676 Colonial Blvd Ste 20, Fort Myers, Florida |
Authorized Official Name and Position | Nadine-ann Orinthea Singh (OWNER/PRESIDENT) |
Authorized Official Contact | 2392221829 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Mobile Health Services Llc 10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 Ph: (239) 222-1829 | Premier Mobile Health Services Llc 10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 Ph: (239) 222-1829 |
NPI Number | 1639661937 |
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Provider Enumeration Date | 06/01/2018 |
Last Update Date | 01/08/2025 |
Medicare PECOS PAC ID | 1850641721 |
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Medicare Enrollment ID | O20180914000113 |
Identifier | Type | State | Issuer |
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1639661937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Florida) | Primary |
363LF0000X | Nurse Practitioner - Family | ARNP9276797 (Florida) | Secondary |
Provider Name | Mary Anne Farris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558619825 PECOS PAC ID: 1658681408 Enrollment ID: I20151105002450 |
Provider Name | Nadine-ann O Singh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659789188 PECOS PAC ID: 4688970585 Enrollment ID: I20160302001347 |
Provider Name | Brandy Rae Polanco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386404101 PECOS PAC ID: 3173964657 Enrollment ID: I20240515001471 |
Provider Name | Ann Melissa Jolivain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710716485 PECOS PAC ID: 3870026966 Enrollment ID: I20241028003707 |
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