# INNOVACARE FLORIDA PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INNOVACARE FLORIDA PHYSICIANS, LLC
- **Other names:** Premier Family Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407625395
- **Legal business name:** INNOVACARE FLORIDA PHYSICIANS, LLC
- **Authorized official:** DAVID BROWN (CREDENTIALING MANAGER)
- **Authorized official phone:** (833) 702-8383

## Contact information

- **Practice address:** 15689 SOUTHERN BLVD UNIT 101, LOXAHATCHEE, FL 33470-9229
- **Practice address phone:** (561) 798-3030
- **Practice address fax:** (561) 798-8242
- **Mailing address:** 425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
- **Mailing address phone:** (321) 332-6947
- **Mailing address fax:** (407) 286-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 01/03/2025