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
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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