Premiermd Ipa Healthcare, LLC
NPI #1154807352 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1154807352
- Entity Type
- Organization
- Organization Name
- Premiermd Ipa Healthcare, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 11, 2018
Practice Location
- Address
- 3465 GALT OCEAN DR STE 204
- 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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