# PREMISE HEALTH OF FLORIDA MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HGV Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841058138
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 5323 MILLENIA LK BLVD, ORLANDO, FL 32839-3392
- **Practice address phone:** (407) 722-3410
- **Practice address fax:** (407) 264-6732
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 02/05/2026