NPI | 1063067643 |
---|---|
Doing Business As | PREMIER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MARIAHELENA MARTINEZ COO 352-242-8779 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2025-01-08 |