| Premium Medical Center Corp | |
|
6405 Nw 36th St Ste 11 Virginia Gardens FL 33166-6974 | |
| (786) 334-5047 | |
| Not Available |
| Full Name | Premium Medical Center Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6405 Nw 36th St Ste 11, Virginia Gardens, Florida |
| Authorized Official Name and Position | Mabel Gutierrez Concepcion (OWNER) |
| Authorized Official Contact | 7863345047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Medical Center Corp 6405 Nw 36th St Ste 11 Virginia Gardens FL 33166-6974 Ph: (786) 334-5047 | Premium Medical Center Corp 6405 Nw 36th St Ste 11 Virginia Gardens FL 33166-6974 Ph: (786) 334-5047 |
| NPI Number | 1053095463 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053095463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Court Options Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6555 Nw 36th St, Suite 328, Virginia Gardens, FL 33166 Phone: 305-378-8122 Fax: 305-870-9921 | |
Premium Medical Center Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6405 Nw 36th St Ste 111, Virginia Gardens, FL 33166 Phone: 786-334-5047 Fax: 786-334-5048 | |
Therapeutic Alliance Community Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6405 Nw 36th St, Suite 100, Virginia Gardens, FL 33166 Phone: 305-871-3131 Fax: 305-871-2727 |