PREMCARE FAMILY MEDICAL CENTER NPI 1730107780

NPI Information

PREMCARE FAMILY MEDICAL CENTER is a specialist in Orlando, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PREMCARE FAMILY MEDICAL CENTER NPI is 1730107780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4501 S SEMORAN BLVD
ORLANDO, FL
ZIP 32822-407
Phone: (407) 380-1428
Fax: (407) 380-0754

The provider's authorized official is Muhammad A Awan .
The authorized official title is Medicine Doctor and has the following contact phone number (407) 380-1428.

The CLIA number assigned to this NPI record is 10D0275601 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/20/2023.

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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