| Premise Health Of Florida Medical, P.a. | |
|
5255 41st St Vero Beach FL 32967-1619 | |
| (772) 778-5046 | |
| (801) 508-6074 |
| Full Name | Premise Health Of Florida Medical, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5255 41st St, Vero Beach, Florida |
| Authorized Official Name and Position | Jon 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. 5255 41st St Vero Beach FL 32967-1619 Ph: (772) 778-5046 |
| NPI Number | 1669146866 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669146866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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