Organization
PREMIUM MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN REYES (OWNER)
(305) 863-6620
Entity
Organization
Contact information
Practice address
704 PALM AVE, HIALEAH, FL 33010-4318
(305) 863-6620
(305) 863-6732
Mailing address
704 PALM AVE, HIALEAH, FL 33010-4318
(305) 863-6620
(305) 863-6732
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6181622
FL
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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