PREMIERE MEDICAL GROUP PA

MELBOURNE, FL
NPI1285813147
Entity TypeOrganization
Authorized ContactMIGUEL L LORENTE
Owner
321-676-7860
Organization Subpart ?No
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: FL  ME82880)
Enumeration Date2007-10-29
Last Update Date2010-10-13
Business Address
PREMIERE MEDICAL GROUP PA
2107 DAIRY RD
MELBOURNE, FL 32904-5209
Phone number: 321-676-7860
Mailing Address
PREMIERE MEDICAL GROUP PA
PO BOX 120043
WEST MELBOURNE, FL 32912-0043
Phone number: 321-676-7860