Organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Active
Parent organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIUM HEALTHCARE HOLDINGS, LLLP
Authorized official
KEILA HOOVER (OWNER)
(305) 265-4441
Entity
Organization
Contact information
Practice address
12905 SW 42ND ST STE 106, MIAMI, FL 33175-2910
(305) 229-2020
(305) 229-2218
Mailing address
2400 SW 69TH AVE, MIAMI, FL 33155-2919
(305) 265-4441
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/23/2022
Last updated
12/01/2022
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