| Premiermed | |
|
2940 Maguire Rd Ste 200 Ocoee FL 34761-4751 | |
| (407) 581-9065 | |
| (321) 348-5827 |
| Full Name | Premiermed |
|---|---|
| Speciality | Family Medicine |
| Location | 2940 Maguire Rd Ste 200, Ocoee, Florida |
| Authorized Official Name and Position | Adam Langley (CO-OWNER/PHYSICIAN) |
| Authorized Official Contact | 4075819065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiermed 2940 Maguire Rd Ste 200 Ocoee FL 34761-4751 Ph: (407) 581-9065 | Premiermed 2940 Maguire Rd Ste 200 Ocoee FL 34761-4751 Ph: (407) 581-9065 |
| NPI Number | 1184970626 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 9032361274 |
|---|---|
| Medicare Enrollment ID | O20121214000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184970626 | NPI | - | NPPES |
| 004227500 | Medicaid | FL | |
| 004046500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME105078 (Florida) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | ME105459 (Florida) | Secondary |
| Provider Name | Adam W Langley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992998736 PECOS PAC ID: 4880718444 Enrollment ID: I20100902001069 |
| Provider Name | Gary C Visser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710170568 PECOS PAC ID: 8022289404 Enrollment ID: I20110914000798 |
| Provider Name | Heather Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615028 PECOS PAC ID: 5799006631 Enrollment ID: I20150604000719 |
| Provider Name | Carolyn D Knopfle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346796612 PECOS PAC ID: 9335422567 Enrollment ID: I20170213001573 |
| Provider Name | Ferdinand Brits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104239862 PECOS PAC ID: 4284990300 Enrollment ID: I20171106002830 |
| Provider Name | Anri Brits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336533975 PECOS PAC ID: 2062767296 Enrollment ID: I20180612001831 |
| Provider Name | Edwin John Raymond Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245624881 PECOS PAC ID: 5092064212 Enrollment ID: I20180822000630 |
Cogent Healthcare Of Pensacola Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-296-1000 | |
M. Empire Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 849 Kazaros Cir, Ocoee, FL 34761 Phone: 407-619-1821 | |
Chcp Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 E Silver Star Rd, Ocoee, FL 34761 Phone: 407-522-5858 | |
Injury Central Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1584 Citrus Medical Ct, Ocoee, FL 34761 Phone: 407-203-2190 | |
Ocoee Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1144 Kelton Ave Ste 1009, Ocoee, FL 34761 Phone: 075-538-0304 | |
Primary Care Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11140 W Colonial Dr, Suite 1, Ocoee, FL 34761 Phone: 407-877-2111 Fax: 407-877-7571 | |
Gastro Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr Ste 389, Ocoee, FL 34761 Phone: 407-822-1171 Fax: 407-822-1172 |