| NPI | 1174915045 |
|---|---|
| Doing Business As | PREMIER MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICK KING Owner 239-573-7988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2023-12-27 |