# PREMISE HEALTH OF FLORIDA MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake County Sheriff Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609591312
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 788 E HIGHLAND AVE, CLERMONT, FL 34711-2652
- **Practice address phone:** (621) 217-3548
- **Practice address fax:** (407) 902-0827
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 02/12/2026
