Premium Healthcare Holdings, Lllp
Clinic/Center, Multi-Specialty in Miami, FL. Organization (NPI-2).
NPI number1841908985
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1841908985
- Entity type
- Organization (NPI-2)
- Legal business name
- Premium Healthcare Holdings, Lllp
- Organization subpart
- Yes
- Enumeration date
- Nov 8, 2022
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
13353 Sw 42nd StMiami, FL 33175-3204
Phone 305-265-4441 · Fax 305-265-4844
Mailing address
2400 Sw 69th AveMiami, FL 33155-2919
Phone 305-746-1414 · Fax 305-265-4844
Authorized official
Keila Hoover
Owner
3052654441
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