Organization
PREMIER GROUP HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO HERNANDEZ (OWNER)
(786) 351-4493
Entity
Organization
Contact information
Practice address
1398 W 80TH ST, HIALEAH, FL 33014-3452
(786) 351-4493
Mailing address
1398 W 80TH ST, HIALEAH, FL 33014-3452
(786) 351-4493
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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