| Premier Mobile Health Services Llc | |
|
10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 | |
| (239) 222-1829 | |
| (239) 443-4516 |
| Full Name | Premier Mobile Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10676 Colonial Blvd Ste 20, Fort Myers, Florida |
| Authorized Official Name and Position | Nadine-ann Orinthea Singh (OWNER/PRESIDENT) |
| Authorized Official Contact | 2392221829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mobile Health Services Llc 10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 Ph: (239) 222-1829 | Premier Mobile Health Services Llc 10676 Colonial Blvd Ste 20 Fort Myers FL 33913-8715 Ph: (239) 222-1829 |
| NPI Number | 1639661937 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 1850641721 |
|---|---|
| Medicare Enrollment ID | O20180914000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639661937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9276797 (Florida) | Secondary |
| Provider Name | Mary Anne Constance Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558619825 PECOS PAC ID: 1658681408 Enrollment ID: I20151105002450 |
| Provider Name | Nadine-ann O Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659789188 PECOS PAC ID: 4688970585 Enrollment ID: I20160302001347 |
| Provider Name | Alba Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386383271 PECOS PAC ID: 6204203656 Enrollment ID: I20221027003040 |
| Provider Name | Maydel Grinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497466999 PECOS PAC ID: 6608240429 Enrollment ID: I20230317002458 |
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