Premier Health Care INC
Internal Medicine in Saint Petersburg, FL. Organization (NPI-2).
NPI number1124119151
StatusActive
Last updated in NPPESJan 2, 2008
Details
- NPI
- 1124119151
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Health Care INC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Jan 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
218 Pasadena Ave SSaint Petersburg, FL 33707-1251
Phone 727-345-0160
Mailing address
9823 Sago Point DrLargo, FL 33777-4905
Phone 727-452-4949 · Fax 727-345-0100
Authorized official
Vijaya L Cherukuri
Medical Director
7273450160
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