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Organization

PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Active
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Organization

PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Active
Other names
Deutsche Bank Health Unit
Organization subpart
No

Provider details

NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
5022 GATE PKWY STE 400, JACKSONVILLE, FL 32256-0833
(904) 645-4060
(904) 645-4061
Mailing address
5500 MARYLAND WAY, ATTN RCM DEPT, BRENTWOOD, TN 37027-4948
(904) 645-4060
(904) 645-4061

Taxonomy

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

Other

Enumeration date
06/03/2016
Last updated
08/15/2022
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