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Organization
PREMIUM HEALTHCARE PLUS LLC
Active
Organization
PREMIUM HEALTHCARE PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILA HOOVER MD (OWNER)
(305) 458-0211
Entity
Organization
Contact information
Practice address
9750 SW 24TH ST, MIAMI, FL 33165-7598
(305) 265-4441
(305) 265-4844
Mailing address
9750 SW 24TH ST, MIAMI, FL 33165-7598
(305) 746-1414
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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