# PREMIER PHYSICIAN HOLDINGS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831838010
- **Authorized official:** PENELOPE KOKKINIDES (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (201) 969-2404

## Contact information

- **Practice address:** 1037 S STATE ROAD 7 STE 113114, WELLINGTON, FL 33414-6138
- **Practice address phone:** (561) 798-3030
- **Mailing address:** 6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
- **Mailing address phone:** (321) 332-6947
- **Mailing address fax:** (407) 286-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 06/03/2022