| Premium Healthcare Plus Llc | |
|
9750 Sw 24th St Miami FL 33165-7598 | |
| (305) 265-4441 | |
| (305) 265-4844 |
| Full Name | Premium Healthcare Plus Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9750 Sw 24th St, Miami, Florida |
| Authorized Official Name and Position | Keila Hoover (OWNER) |
| Authorized Official Contact | 3054580211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Healthcare Plus Llc 9750 Sw 24th St Miami FL 33165-7598 Ph: (305) 746-1414 | Premium Healthcare Plus Llc 9750 Sw 24th St Miami FL 33165-7598 Ph: (305) 265-4441 |
| NPI Number | 1710764154 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 8325497449 |
|---|---|
| Medicare Enrollment ID | O20231213004015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710764154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Keila Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417909375 PECOS PAC ID: 6709809247 Enrollment ID: I20060110000964 |
| Provider Name | Carlos Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528225638 PECOS PAC ID: 3577757657 Enrollment ID: I20101102001382 |
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