Organization
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Active
Organization
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Active
Other names
The Wellness Center operated by Premise Health
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
9300 28TH ST N, PINELLAS PARK, FL 33782-6122
(727) 578-6940
Mailing address
5500 MARYLAND FARMS, 120, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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