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Organization
PREMIER FAMILY & SPORTS MEDICINE, LLC
Active
Organization
PREMIER FAMILY & SPORTS MEDICINE, LLC
Active
Other names
PremierMED
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM LANGLEY M.D. (CO-OWNER/PHYSICIAN)
(407) 581-9065
Entity
Organization
Contact information
Practice address
2940 MAGUIRE RD STE 200, OCOEE, FL 34761-4751
(407) 581-9065
(321) 348-5827
Mailing address
2940 MAGUIRE RD STE 200, OCOEE, FL 34761-4751
(407) 581-9065
(321) 348-5827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105078
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME105459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004046500
—
FL
05
—
004227500
—
FL
Enumeration date
08/02/2012
Last updated
03/27/2019
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