| Premise Health Of Florida Medical, P.a. | |
|
2950 Lakeshore Blvd Saint Cloud FL 34769-1946 | |
| (407) 957-7217 | |
| (508) 885-5400 |
| Full Name | Premise Health Of Florida Medical, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2950 Lakeshore Blvd, Saint Cloud, Florida |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Florida Medical, P.a. 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Florida Medical, P.a. 2950 Lakeshore Blvd Saint Cloud FL 34769-1946 Ph: (407) 957-7217 |
| NPI Number | 1790459832 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790459832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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