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Organization
PREMIER WELLNESS MEDICAL CENTER, INC
Active
Organization
PREMIER WELLNESS MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSVANY PEREZ LEMUS (PRESIDENT/OWNER)
(305) 834-9626
Entity
Organization
Contact information
Practice address
2780 SW 87TH AVE STE 108, MIAMI, FL 33165-3296
(786) 817-2979
(786) 409-2024
Mailing address
2780 SW 87TH AVE STE 108, MIAMI, FL 33165-3296
(786) 817-2979
(786) 409-2024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS15495
OSTEOPATHIC PHYSICIAN MEDICAL LICENSE
FL
Enumeration date
11/14/2019
Last updated
11/14/2019
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