PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a primary care clinic center in Lake Buena Vista, FL. PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1831346642. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Living Well.
The provider's business location address is:
960 BACK STAGE LN
LAKE BUENA VISTA, FL
ZIP 32830-472
Phone: (407) 934-4100
Fax: (407) 934-4101
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 10D2175915 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/22/2008 and was last updated on 8/9/2022.