Organization
PREMIER MEDICAL PEDIATRICS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE SANTANA (CFO)
(850) 584-3278
Entity
Organization
Contact information
Practice address
315 E ASH ST, PERRY, FL 32347-2029
(850) 838-2121
(850) 838-1842
Mailing address
PO BOX 719, PERRY, FL 32348-0719
(850) 584-3278
(850) 584-8171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/03/2008
Last updated
02/08/2010
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