Organization
PREMIERMD IPA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR TOLEDANO MD (PRESIDENT)
(954) 561-5135
Entity
Organization
Contact information
Practice address
3465 GALT OCEAN DR STE 204, FT LAUDERDALE, FL 33308-7077
(954) 561-5135
(954) 252-2565
Mailing address
3465 GALT OCEAN DR STE 204, FT LAUDERDALE, FL 33308-7077
(954) 561-5135
(954) 252-2565
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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