| Premise Health Of Florida Medical, P.a. | |
|
14000 Citicards Way Bldg A1 Jacksonville FL 32258-6456 | |
| (904) 354-8262 | |
| Not Available |
| Full Name | Premise Health Of Florida Medical, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14000 Citicards Way Bldg A1, Jacksonville, Florida |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6155775893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Florida Medical, P.a. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Florida Medical, P.a. 14000 Citicards Way Bldg A1 Jacksonville FL 32258-6456 Ph: (904) 354-8262 |
| NPI Number | 1346957610 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346957610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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