# PREMIUM HEALTHCARE PLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710764154
- **Authorized official:** KEILA HOOVER MD (OWNER)
- **Authorized official phone:** (305) 458-0211

## Contact information

- **Practice address:** 9750 SW 24TH ST, MIAMI, FL 33165-7598
- **Practice address phone:** (305) 265-4441
- **Practice address fax:** (305) 265-4844
- **Mailing address:** 9750 SW 24TH ST, MIAMI, FL 33165-7598
- **Mailing address phone:** (305) 746-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2023
- **Last updated:** 09/11/2023