# PREMIUM HEALTHCARE HOLDINGS, LLLP

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518587203
- **Authorized official:** KEILA HOOVER MD (OWNER)
- **Authorized official phone:** (305) 458-0211

## Contact information

- **Practice address:** 2400 SW 69TH AVE, MIAMI, FL 33155-1706
- **Practice address phone:** (305) 265-4441
- **Practice address fax:** (305) 265-4844
- **Mailing address:** 7371 SW 24TH ST, MIAMI, FL 33155-1402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 05/10/2023