Organization
PREMIER CARE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SETTEMBRINO (CHAIRMAN)
(863) 646-9191
Entity
Organization
Contact information
Practice address
4725 US HIGHWAY 98 S, SUITE 102, LAKELAND, FL 33812-4334
(863) 646-9191
(863) 646-5252
Mailing address
111 WEBB DR, DAVENPORT, FL 33837-3962
(863) 588-1424
(863) 646-5252
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0072440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251631400
—
FL
01
—
P00328830
RAILROAD MEDICARE
FL
Enumeration date
05/24/2006
Last updated
05/04/2016
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