PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a multi-specialty clinic center in Leesburg, FL. PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1396419594. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake County Sheriff Dept.
The provider's business location address is:
8113 CENTRALIA CT STE 102
LEESBURG, FL
ZIP 34788-521
Phone: (352) 314-3020
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 10D2076519 - 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.