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Organization
PREMIUM HEALTHCARE HOLDINGS
Active
Organization
PREMIUM HEALTHCARE HOLDINGS
Active
Parent organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIUM HEALTHCARE HOLDINGS, LLLP
Authorized official
KEILA HOOVER MD (OWNER)
(305) 265-4441
Entity
Organization
Contact information
Practice address
9750 SW 24TH ST, MIAMI, FL 33165-7598
(305) 265-4441
(305) 735-2276
Mailing address
2400 SW 69TH AVE, MIAMI, FL 33155-2919
(305) 265-4441
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/02/2022
Last updated
05/10/2023
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