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Organization
PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC
Active
Organization
PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC
Active
Other names
Pioneer Clinical Labs
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD R KOP (LAB MANAGER)
(352) 362-0627
Entity
Organization
Contact information
Practice address
9311 SW HIGHWAY 200 # A2, OCALA, FL 34481-9657
(352) 362-0627
(877) 573-9013
Mailing address
9311 SW HIGHWAY 200 # A2, OCALA, FL 34481-9657
(352) 362-0627
(877) 573-9013
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
NULL
246RM2200X
Medical Laboratory Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
07/21/2024
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