Organization
PREMIER PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB EUNUS (PRESIDENT)
(352) 671-6741
Entity
Organization
Contact information
Practice address
150 SE 17TH ST, SUITE 604, OCALA, FL 34471-5178
(352) 671-6741
(352) 671-6742
Mailing address
7960 SW 60TH AVE, OCALA, FL 34476-6457
(352) 671-6741
(352) 671-6742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003198502
—
FL
Enumeration date
09/20/2013
Last updated
09/20/2013
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