| Premise Health Of Florida Medical, P.a. | |
|
3439 Technology Dr North Venice FL 34275-3628 | |
| (941) 486-0100 | |
| (941) 488-8358 |
| Full Name | Premise Health Of Florida Medical, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3439 Technology Dr, North Venice, 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 Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Florida Medical, P.a. 3439 Technology Dr North Venice FL 34275-3628 Ph: (941) 486-0100 |
| NPI Number | 1720536899 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720536899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |