Organization
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Active
Other names
Parrish Occupational Health Clinic and Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
494 N WASHINGTON AVE, TITUSVILLE, FL 32796-2871
(321) 267-8311
(321) 267-2881
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(877) 865-9013
(321) 267-2881
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/06/2012
Last updated
08/15/2022
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