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Organization
PREMIERE CARE PROVIDERS LLC
Active
Organization
PREMIERE CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH TOWNSEND (OFFICE MANAGER)
(352) 391-5299
Entity
Organization
Contact information
Practice address
8550 NE 138TH LN BLDG 800, LADY LAKE, FL 32159-6816
(352) 391-5299
(877) 786-6531
Mailing address
8550 NE 138TH LN BLDG 800, LADY LAKE, FL 32159-6816
(352) 391-5299
(877) 786-6531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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