Organization
PREMISE HEALTH OF FLORIDA MEDICAL PA
Active
Other names
City of St Cloud
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL THIEL (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
2950 LAKESHORE BLVD, SAINT CLOUD, FL 34769-1946
(407) 957-7217
(508) 885-5400
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
02/17/2026
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