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Organization
PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER INC
Active
Organization
PREMIER FAMILY AND PALLIATIVE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BURKE (MCC)
(954) 782-2802
Entity
Organization
Contact information
Practice address
1 W SAMPLE RD # 3104, POMPANO BEACH, FL 33064-3547
(954) 782-2802
Mailing address
1 W SAMPLE RD, SUITE 104, POMPANO BEACH, FL 33064-3547
(954) 782-2802
(954) 782-2881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS10256
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
OS10256
FL
208VP0000X
Pain Medicine Physician
OS10256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001156200
—
FL
Enumeration date
08/24/2010
Last updated
01/06/2011
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