Premier Revenue Partners LLC
Supports Brokerage in Orlando, FL. Organization (NPI-2).
NPI number1346777588
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1346777588
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Revenue Partners LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2017
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage | – | – | Yes |
Practice location
10231 Cove Lake DrOrlando, FL 32836-3757
Phone 561-331-0808 · Fax 561-237-6034
Mailing address
6415 Lake Worth Rd Ste 102Greenacres, FL 33463-3009
Phone 561-331-0808 · Fax 561-237-6034
Authorized official
John Ross
Ceo
5613310808
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