NPI | 1184970626 |
---|---|
Doing Business As | PREMIERMED |
Entity Type | Organization |
Authorized Contact | ADAM LANGLEY Co Owner/Physician 407-581-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME105078) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME105459) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2019-03-27 |