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Organization
PREMIERCARDIA PLLC
Active
Organization
PREMIERCARDIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORHAF IBRAHIM MD (OWNER)
(904) 580-4730
Entity
Organization
Contact information
Practice address
213 S US HIGHWAY 17 STE A&B, EAST PALATKA, FL 32131-4005
(904) 580-4730
(904) 580-4740
Mailing address
5150 BELFORT RD BLDG 400, JACKSONVILLE, FL 32256-6026
(904) 580-4730
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/24/2024
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