Organization
PREMIER MEDICAL ASSOCIATES OF FLORIDA LLC
Active
Other names
Pioneer Clinical Labs
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD R KOP (LAB MANAGER)
(352) 362-0627
Entity
Organization
Contact information
Practice address
9311 SW HIGHWAY 200 # A2, OCALA, FL 34481-9657
(352) 362-0627
(877) 573-9013
Mailing address
9311 SW HIGHWAY 200 # A2, OCALA, FL 34481-9657
(352) 362-0627
(877) 573-9013
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
07/21/2024
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