Organization
PREMIER INFECTIOUS DISEASE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANUJA NEMANI MD (OWNER)
(636) 333-4500
Entity
Organization
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(636) 333-4500
Mailing address
PO BOX 290310, PORT ORANGE, FL 32129-0310
(636) 333-4500
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/17/2012
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