Organization
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Active
Organization
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Active
Other names
Deutsche Bank Health Unit
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
5022 GATE PKWY STE 400, JACKSONVILLE, FL 32256-0833
(904) 645-4060
(904) 645-4061
Mailing address
5500 MARYLAND WAY, ATTN RCM DEPT, BRENTWOOD, TN 37027-4948
(904) 645-4060
(904) 645-4061
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
08/15/2022
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