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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