# PREMIUM HEALTHCARE HOLDINGS, LLLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIUM HEALTHCARE HOLDINGS, LLLP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629786439
- **Legal business name:** PREMIUM HEALTHCARE HOLDINGS, LLLP
- **Authorized official:** KEILA HOOVER MD (OWNER)
- **Authorized official phone:** (305) 265-4441

## Contact information

- **Practice address:** 6850 CORAL WAY, MIAMI, FL 33155-1758
- **Practice address phone:** (305) 265-4441
- **Practice address fax:** (305) 265-4844
- **Mailing address:** 2400 SW 69TH AVE, MIAMI, FL 33155-2919
- **Mailing address phone:** (305) 265-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2022
- **Last updated:** 05/10/2023