Organization
PREMIER COMMUNITY HEALTH CARE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RESNICK (CEO)
(352) 518-2000
Entity
Organization
Contact information
Practice address
37944 PASCO AVE, DADE CITY, FL 33525-4202
(352) 518-2000
(352) 518-2000
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-5193
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029550700
—
FL
Enumeration date
09/24/2009
Last updated
04/12/2019
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