| NPI | 1063067643 |
|---|---|
| Doing Business As | PREMIER MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARISA VIDAL Administrator 305-273-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |