Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Active
Other names
Employee Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
7500 CENTURION PKWY STE 100, JACKSONVILLE, FL 32256-0517
(904) 443-1100
(904) 328-5799
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
(216) 479-9063
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
08/15/2022
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