EAST FLORIDA PREMIUM MEDICAL CARE NPI 1326312125

NPI Information

NPI: 1326312125
Provider Name: EAST FLORIDA PREMIUM MEDICAL CARE
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 10D2018508
Address: 7421 N. UNIVERSITY DRIVE
STE 314
TAMARAC, FL
ZIP 33321
Phone: (954) 724-3440

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NPI Details

EAST FLORIDA PREMIUM MEDICAL CARE is a general practice in Tamarac, 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 EAST FLORIDA PREMIUM MEDICAL CARE NPI is 1326312125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7421 N. UNIVERSITY DRIVE
STE 314
TAMARAC, FL
ZIP 33321
Phone: (954) 724-3440
Fax: (954) 724-3494

The provider's authorized official is Errol Earl Campbell .
The authorized official title is Medical Director and has the following contact phone number (954) 724-3440.

The CLIA number assigned to this NPI record is 10D2018508 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2012 and was last updated on 11/18/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	ME80593	FLORIDA	No
2	207R00000X	Internal Medicine			No
3	208D00000X	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109864400	MEDICAID	FLORIDA
2	000758100	MEDICAID	FLORIDA

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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