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Organization
PREMIER MEDICAL ASSOCIATES LLC
Active
Organization
PREMIER MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO B ARROJO MD (OWNER)
(941) 761-3777
Entity
Organization
Contact information
Practice address
2109 59TH ST W, BRADENTON, FL 34209-7015
(941) 761-3777
(941) 761-3779
Mailing address
PO BOX 14056, BRADENTON, FL 34280-4056
(941) 761-3777
(941) 761-3779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0071298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251289100
—
FL
01
—
DC5035
RR MEDICARE PIN
FL
01
—
P00173098
RAILROAD MEDICARE PTAN
FL
Enumeration date
08/21/2006
Last updated
03/29/2012
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