PREMIERMD IPA, LLC

FORT LAUDERDALE, FL
NPI1134536451
Entity TypeOrganization
Authorized ContactDAVID FATER
Chief Operating Officer
954-561-5135
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2014-07-18
Last Update Date2014-07-18
Business Address
PREMIERMD IPA, LLC
3465 GALT OCEAN DRIVE 203
FORT LAUDERDALE, FL 33308-7003
Phone number: 954-561-5135
Mailing Address
PREMIERMD IPA, LLC
3465 GALT OCEAN DRIVE 203
FORT LAUDERDALE, FL 33308-7003
Phone number: 954-561-5135
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