Organization
TAMPA PREMIER MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YERICA PEREZ (OWNER)
(813) 252-8637
Entity
Organization
Contact information
Practice address
4814 N HABANA AVE, TAMPA, FL 33614-6871
(813) 252-8637
(813) 252-8637
Mailing address
4814 N HABANA AVE, TAMPA, FL 33614-6871
(813) 252-8637
(813) 252-8637
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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