Organization
PREMIER MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY GULMER JOHNSON SR. MSN, BSN, RN (PRESIDENT)
(386) 719-6576
Entity
Organization
Contact information
Practice address
296 NW ROWE CT, LAKE CITY, FL 32055-8966
(386) 719-6576
Mailing address
296 NW ROWE CT, LAKE CITY, FL 32055-8966
(386) 719-6576
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2797442
FL
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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