NPI 1043758782 · live from the CMS NPI Registry
A Premier Medical Research Of Florida L.L.C
Family Medicine in Orange City, FL. National Provider Identifier 1043758782, active.
NPI record
| NPI | 1043758782 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2728 Enterprise Rd Ste 200, Orange City, FL 32763 |
| Practice phone | 386-747-9771 |
| Mailing address | 2111 Hontoon Rd, Deland, FL 32720 |
| Enumerated | February 1, 2017 |
| Last updated | February 1, 2017 |
| Authorized official | George Besong, President & Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Anesthesiology, Pain Medicine | 207LP2900X | ME074829 (FL) |
| Internal Medicine | 207R00000X | — |
| Obstetrics & Gynecology | 207V00000X | ME92729 (FL) |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.