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Organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Active
Organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILA HOOVER MD (OWNER)
(305) 458-0211
Entity
Organization
Contact information
Practice address
2400 SW 69TH AVE, MIAMI, FL 33155-1706
(305) 265-4441
(305) 265-4844
Mailing address
7371 SW 24TH ST, MIAMI, FL 33155-1402
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2020
Last updated
05/10/2023
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