| NPI | 1184214231 |
|---|---|
| Former Legal Business Name | PREMIUM MEDICAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SILVANA PEREZ Physical Therapy 786-572-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |