Premier Pediatrics Llc | |
5388 S Us Highway 41 Dunnellon FL 34432-2042 | |
(352) 671-6741 | |
(352) 671-6742 |
Full Name | Premier Pediatrics Llc |
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Speciality | Pediatrics |
Location | 5388 S Us Highway 41, Dunnellon, Florida |
Authorized Official Name and Position | Shahab Eunus (PRESIDENT) |
Authorized Official Contact | 3526716741 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Pediatrics Llc 7960 Sw 60th Ave Ste 100 Ocala FL 34476-6457 Ph: (352) 671-6741 | Premier Pediatrics Llc 5388 S Us Highway 41 Dunnellon FL 34432-2042 Ph: (352) 671-6741 |
NPI Number | 1891120960 |
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Provider Enumeration Date | 09/09/2013 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 5294869236 |
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Medicare Enrollment ID | O20131031000618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891120960 | NPI | - | NPPES |
003198508 | Medicaid | FL | |
003198506 | Medicaid | FL |
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L.a. Oliverio,md Enterprises, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20661 Ned Love Ave, Dunnellon, FL 34431 Phone: 352-489-2401 Fax: 352-489-2521 | |
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