Premiere Perinatal Associates PA
Obstetrics & Gynecology, Maternal & Fetal Medicine in Margate, FL. Organization (NPI-2).
NPI number1386643187
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1386643187
- Entity type
- Organization (NPI-2)
- Legal business name
- Premiere Perinatal Associates PA
- Organization subpart
- No
- Enumeration date
- Jul 14, 2005
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | ME43546 | FL | Yes |
Practice location
2964 N State Road 7 Ste 300Margate, FL 33063-5715
Phone 954-468-3080
Mailing address
5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Fax 919-425-0478
Authorized official
Kathy Kondas
Officer
8773281119
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