Organization
PREMIUM HEALTH, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA LEON (PRESIDENT)
(954) 922-1330
Entity
Organization
Contact information
Practice address
1747 VAN BUREN ST, 925, HOLLYWOOD, FL 33020-5131
(954) 922-1330
Mailing address
1747 VAN BUREN ST, 925, HOLLYWOOD, FL 33020-5131
(954) 922-1330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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