# PREMIER CARE CENTRE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Holistic Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518564699
- **Authorized official:** CHRISTA LORGEAT (DNP, APRN)
- **Authorized official phone:** (863) 250-7260

## Contact information

- **Practice address:** 2050 HAVENDALE BLVD NW STE B, WINTER HAVEN, FL 33881-3828
- **Practice address phone:** (863) 268-2211
- **Practice address fax:** (863) 222-9343
- **Mailing address:** 2050 HAVENDALE BLVD NW STE B, WINTER HAVEN, FL 33881-3828
- **Mailing address phone:** (863) 268-2211
- **Mailing address fax:** (863) 222-9343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/02/2020
- **Last updated:** 09/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1336571116 | — | FL |