Premier Provider Health Florida PA

NPI #1053912550 in Tamarac, Florida

Provider Information

NPI Number: 1053912550
Entity Type: Organization
Organization Name: Premier Provider Health Florida PA
Primary Specialty: Internal Medicine
Enumeration Date: Nov 3, 2020
Last Updated: Dec 1, 2023

Practice Location

Address: 7171 N UNIVERSITY DR STE 300
City: Tamarac
State: Florida
ZIP Code: 33321-2902
Phone: (954) 724-6454

Authorized Official

Name: HAN PHAM HULEN, MD
Title: OWNER
Phone: (214) 945-7313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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