| Premier Physician Associates, P.a. | |
| 110 Pond Ct Ste 301 Debary FL 32713-2717 | |
| (818) 575-0204 | |
| Not Available | 
| Full Name | Premier Physician Associates, P.a. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 110 Pond Ct Ste 301, Debary, Florida | 
| Authorized Official Name and Position | Irelis Rodriguez Castro (OWNER) | 
| Authorized Official Contact | 8185750204 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premier Physician Associates, P.a. 110 Pond Ct Ste 301 Debary FL 32713-2717 Ph: () - | Premier Physician Associates, P.a. 110 Pond Ct Ste 301 Debary FL 32713-2717 Ph: (818) 575-0204 | 
| NPI Number | 1073396073 | 
|---|---|
| Provider Enumeration Date | 08/15/2023 | 
| Last Update Date | 08/15/2023 | 
| Medicare PECOS PAC ID | 2466816319 | 
|---|---|
| Medicare Enrollment ID | O20230912001560 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073396073 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Irelis Rodriguez Castro | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1356714661 PECOS PAC ID: 7810292752 Enrollment ID: I20170221000253 | 
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