Premier Life Health Services, LLC
NPI #1417180043 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1417180043
- Entity Type
- Organization
- Organization Name
- Premier Life Health Services, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 31, 2009
- Last Updated
- Sep 24, 2009
Practice Location
- Address
- 4737 OLD CANOE CREEK ROAD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-0000
- Phone
- (407) 892-3627
Authorized Official
- Name
- DR. KETTY MAURICE, D.O.
- Title
- PRESIDENT
- Phone
- (407) 892-3627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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