PREMIERE CARE LLC NPI 1104794353

NPI Information

  • NPI: 1104794353
  • Provider Name: PREMIERE CARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1244 WALDEN DR
    FORT MYERS, FL
    ZIP 33901
  • Phone: (904) 479-8280

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NPI Details

PREMIERE CARE LLC is a family nurse practitioner in Fort Myers, FL. PREMIERE CARE LLC NPI is 1104794353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1244 WALDEN DR
FORT MYERS, FL
ZIP 33901-834
Phone: (904) 479-8280
Fax: (239) 673-1625

The provider's authorized official is Tiffany D Schoen .
The authorized official title is Manager and has the following contact phone number (660) 281-3975.

The enumeration date for this NPI number is 10/28/2025 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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