| Premier Total Healthcare Inc | |
|
1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 | |
| (954) 456-0250 | |
| (954) 456-0820 |
| Full Name | Premier Total Healthcare Inc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 1250 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508969536 | NPI | - | NPPES |
| DD8449 | Other | FL | RAILROAD MEDICARE |
| 45321 | Other | FL | BC/BS OF FL GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7202 (Florida) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | OS5537 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS5537 (Florida) | Primary |
| Provider Name | Kevin P Mcgrath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134230154 PECOS PAC ID: 8426159898 Enrollment ID: I20070730000344 |
| Provider Name | Mathew C Popkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932254802 PECOS PAC ID: 4486786332 Enrollment ID: I20100806000191 |
| Provider Name | Christopher A Dicarlo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033228721 PECOS PAC ID: 0648436147 Enrollment ID: I20120727000670 |
| Provider Name | Keregay Meeks Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376896498 PECOS PAC ID: 3779892831 Enrollment ID: I20151013000231 |
| Provider Name | Daniel A Light |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326714734 PECOS PAC ID: 1759779085 Enrollment ID: I20211019001891 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Total Healthcare Inc 1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 Ph: (954) 456-0250 | Premier Total Healthcare Inc 1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 Ph: (954) 456-0250 |