# PREMIUM HEALTHCARE HOLDINGS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIUM HEALTHCARE HOLDINGS, LLLP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366159097
- **Legal business name:** PREMIUM HEALTHCARE HOLDINGS, LLLP
- **Authorized official:** KEILA HOOVER MD (OWNER)
- **Authorized official phone:** (305) 265-4441

## Contact information

- **Practice address:** 9750 SW 24TH ST, MIAMI, FL 33165-7598
- **Practice address phone:** (305) 265-4441
- **Practice address fax:** (305) 735-2276
- **Mailing address:** 2400 SW 69TH AVE, MIAMI, FL 33155-2919
- **Mailing address phone:** (305) 265-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 05/10/2023