Organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Active
Parent organization
PREMIUM HEALTHCARE HOLDINGS, LLLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIUM HEALTHCARE HOLDINGS, LLLP
Authorized official
KEILA HOOVER MD (OWNER)
(305) 265-4441
Entity
Organization
Contact information
Practice address
6850 CORAL WAY, MIAMI, FL 33155-1758
(305) 265-4441
(305) 265-4844
Mailing address
2400 SW 69TH AVE, MIAMI, FL 33155-2919
(305) 265-4441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115232600
—
FL
Enumeration date
11/10/2022
Last updated
05/10/2023
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