| NPI | 1851680789 |
|---|---|
| Former Legal Business Name | PREMIER MEDICAL INSTITUTE PL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RAVID Owner 941-505-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 106244) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2020-06-30 |