| Premium Care Doctors Corp. | |
|
1816 E 4th Ave Hialeah FL 33010-3115 | |
| (305) 805-0012 | |
| (305) 883-9003 |
| Full Name | Premium Care Doctors Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 1816 E 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Manuel Alfredo Galguera (PRESIDENT) |
| Authorized Official Contact | 3058050012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Care Doctors Corp. 1816 E 4th Ave Hialeah FL 33010-3115 Ph: (305) 805-0012 | Premium Care Doctors Corp. 1816 E 4th Ave Hialeah FL 33010-3115 Ph: (305) 805-0012 |
| NPI Number | 1174695449 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174695449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | () | Secondary |
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