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Organization
PREMIER MED PA
Active
Organization
PREMIER MED PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAUVID BEHRAM AYADI (OWNER)
(407) 352-2542
Entity
Organization
Contact information
Practice address
2906 17TH ST., ST CLOUD, FL 34769
(407) 543-6306
Mailing address
7512 DR PHILLIPS BLVD STE 50-344, ORLANDO, FL 32819-5420
(407) 543-6306
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/20/2019
Last updated
10/18/2019
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