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Organization
PREMIER PHYSICIAN ASSOCIATES LLC
Active
Organization
PREMIER PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIOLA JACOBS MD (OWNER)
(321) 946-6864
Entity
Organization
Contact information
Practice address
13651 HUNTERS OAK DR, STE 101, ORLANDO, FL 32837-7679
(321) 946-6864
Mailing address
PO BOX 2648, ORLANDO, FL 32802-2648
(321) 946-6864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90116
FL
208000000X
Pediatrics Physician
ME85807
FL
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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