Organization
PREMIER CLINIC LLC
Active
Organization
PREMIER CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINESH D. PATEL M.D. (PRESIDENT)
(904) 565-9270
Entity
Organization
Contact information
Practice address
7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL 32256-9666
(904) 565-9270
(904) 567-3058
Mailing address
7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL 32256-9666
(904) 565-9270
(904) 567-3058
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME55622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373614800
—
FL
Enumeration date
10/03/2007
Last updated
02/16/2011
Update your record
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