Premium Medical Services Group INC

NPI #1023409455 in Miami, Florida

Provider Information

NPI Number: 1023409455
Entity Type: Organization
Organization Name: Premium Medical Services Group INC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 6, 2015
Last Updated: Feb 6, 2015

Practice Location

Address: 2423 SW 147TH AVE
Address 2: SUITE # 375
City: Miami
State: Florida
ZIP Code: 33185-4082
Phone: (786) 529-6375

Authorized Official

Name: SHAHAB HYDER, MD
Title: MEDICAL DOCTOR
Phone: (786) 529-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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