NPI | 1851339535 |
---|---|
Doing Business As | PREMIER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DAVID E NOVAK Administrator 941-629-5757 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-08-14 |