PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a multi-specialty clinic center in Mount Dora, FL. PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1386318434. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Mount Dora.
The provider's business location address is:
2110 N DONNELLY ST STE 200
MOUNT DORA, FL
ZIP 32757-967
Phone: (352) 735-8231
Fax: (903) 957-3195
The provider's authorized official is Jonathan Leizman .
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 10D2021929 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/9/2022.