Premiermd Sim, LLC
NPI #1023575495 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1023575495
- Entity Type
- Organization
- Organization Name
- Premiermd Sim, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 3465 GALT OCEAN DR STE 203
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33308-7077
- Phone
- (954) 561-5135
Authorized Official
- Name
- VICTOR TOLEDANO, MD
- Title
- PRESIDENT
- Phone
- (954) 561-5135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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