# PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Clinical Labs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417475872
- **Authorized official:** EDWARD R KOP (LAB MANAGER)
- **Authorized official phone:** (352) 362-0627

## Contact information

- **Practice address:** 9311 SW HIGHWAY 200 \# A2, OCALA, FL 34481-9657
- **Practice address phone:** (352) 362-0627
- **Practice address fax:** (877) 573-9013
- **Mailing address:** 9311 SW HIGHWAY 200 \# A2, OCALA, FL 34481-9657
- **Mailing address phone:** (352) 362-0627
- **Mailing address fax:** (877) 573-9013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RM2200X | Medical Laboratory Technician | — | NULL | — |
| 246RM2200X | Medical Laboratory Technician | — | — | — |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2017
- **Last updated:** 07/21/2024