| Premier Physician Associates, P.a. | |
|
110 Pond Ct Ste 301 Debary FL 32713-2717 | |
| (386) 259-4258 | |
| (877) 569-2113 |
| Full Name | Premier Physician Associates, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Pond Ct Ste 301, Debary, Florida |
| Authorized Official Name and Position | Hamidreza Ebneshahidi (MD) |
| Authorized Official Contact | 8185750095 |
| 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: (386) 259-4258 | Premier Physician Associates, P.a. 110 Pond Ct Ste 301 Debary FL 32713-2717 Ph: (386) 259-4258 |
| NPI Number | 1073396073 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 11/21/2025 |
| 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 |
Potenciano Gonzales Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 | |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 | |
Humberto A Dominguez Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 | |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 | |
Potenciano D Gonzales Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite B, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 |