PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a clinic center in Jacksonville, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1407179161. The provider is registered as an organization entity type.
The provider Is Doing Business As Vistakon Health Center.
The provider's business location address is:
7500 CENTURION PKWY STE 100
JACKSONVILLE, FL
ZIP 32256-517
Phone: (904) 443-1100
Fax: (904) 328-5799
The provider's authorized official is Jon 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 10D2004412 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/10/2010 and was last updated on 8/15/2022.