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Organization
PREMIUM HOME MEDICAL SERVICES, INC.
Active
Organization
PREMIUM HOME MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CORRAL (PRESIDENT)
(305) 468-0092
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE, SUITE 238, DORAL, FL 33122-1073
(305) 468-0092
(305) 468-0093
Mailing address
2500 NW 79TH AVE, SUITE 238, DORAL, FL 33122-1073
(305) 468-0092
(305) 468-0093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992838
FL
Other
Enumeration date
10/23/2007
Last updated
07/14/2008
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