# PREMIER PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER PEDIATRICS LLC
- **Other names:** Premier Pediatrics - Anthony
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942006853
- **Legal business name:** PREMIER PEDIATRICS LLC
- **Authorized official:** SHAHAB EUNUS MD (OWNER)
- **Authorized official phone:** (352) 509-5082

## Contact information

- **Practice address:** 2040 NE 95TH ST, ANTHONY, FL 32617-3628
- **Practice address phone:** (352) 509-5082
- **Practice address fax:** (352) 509-5083
- **Mailing address:** 7960 SW 60TH AVE STE 100, OCALA, FL 34476-6409
- **Mailing address phone:** (352) 671-6741
- **Mailing address fax:** (352) 671-6742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025