NPI | 1093829442 |
---|---|
Doing Business As | PREMIER MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CYNTHIA ROMSKA Credentialing Specialist 352-259-2159 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0069935) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME95629) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3378652) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2022-11-16 |