PREMIERMD SIM, LLC

FT LAUDERDALE, FL
NPI1023575495
Entity TypeOrganization
Authorized ContactVICTOR TOLEDANO
President
954-561-5135
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
PREMIERMD SIM, LLC
3465 GALT OCEAN DR STE 203
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135
Mailing Address
PREMIERMD SIM, LLC
3465 GALT OCEAN DR STE 203
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135
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