| Premier Wellness Medical Center, Inc | |
|
2780 Sw 87th Ave Ste 108 Miami FL 33165-3296 | |
| (786) 817-2979 | |
| (786) 409-2024 |
| Full Name | Premier Wellness Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2780 Sw 87th Ave Ste 108, Miami, Florida |
| Authorized Official Name and Position | Yosvany Perez Lemus (PRESIDENT/OWNER) |
| Authorized Official Contact | 3058349626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Wellness Medical Center, Inc 2780 Sw 87th Ave Ste 108 Miami FL 33165-3296 Ph: (786) 817-2979 | Premier Wellness Medical Center, Inc 2780 Sw 87th Ave Ste 108 Miami FL 33165-3296 Ph: (786) 817-2979 |
| NPI Number | 1598300543 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598300543 | NPI | - | NPPES |
| OS15495 | Other | FL | OSTEOPATHIC PHYSICIAN MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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