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Organization

PREMIER INFECTIOUS DISEASE CARE LLC

Active
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Organization

PREMIER INFECTIOUS DISEASE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARCHANA K SHAH M. D. (OWNER)
(321) 422-3660
Entity
Organization

Contact information

Practice address
185 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3203
(321) 422-3660
(407) 644-2981
Mailing address
185 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3203
(321) 422-3660
(407) 644-2981

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME92663
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8797400
FL
Enumeration date
10/20/2007
Last updated
05/29/2025
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