PREMISE HEALTH OF FLORIDA MEDICAL P.A. NPI 1285983585

NPI Information

PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1285983585. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Truist Orlando Health Center.

The provider's business location address is:

7455 CHANCELLOR DR
ORLANDO, FL
ZIP 32809-213
Phone: (407) 762-7108

The provider's authorized official is Lisa Corbin .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 10D2049229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 8/9/2022.

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:

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