PREMIERMD IPA HEALTHCARE, LLC

FT LAUDERDALE, FL
NPI1154807352
Entity TypeOrganization
Authorized ContactVICTOR TOLEDANO
President
954-561-5135
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
PREMIERMD IPA HEALTHCARE, LLC
3465 GALT OCEAN DR STE 204
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135
Mailing Address
PREMIERMD IPA HEALTHCARE, LLC
3465 GALT OCEAN DR STE 204
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135