# PREMIUM CHOICE MEDICAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114973609
- **Authorized official:** LEIDY I BOZA (PRESIDENT)
- **Authorized official phone:** (305) 866-0216

## Contact information

- **Practice address:** 311 DEL PRADO BLVD, UNIT 1, CAPE CORAL, FL 33990
- **Practice address phone:** (239) 574-9121
- **Practice address fax:** (239) 574-9028
- **Mailing address:** 311 DEL PRADO BLVD, UNIT 1, CAPE CORAL, FL 33990
- **Mailing address phone:** (239) 574-9121
- **Mailing address fax:** (239) 574-9028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020