Organization
PREMIER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB EUNUS MD (PRESIDENT)
(352) 671-6741
Entity
Organization
Contact information
Practice address
5388 S US HIGHWAY 41, DUNNELLON, FL 34432-2042
(352) 671-6741
(352) 671-6742
Mailing address
7960 SW 60TH AVE STE 100, OCALA, FL 34476-6457
(352) 671-6741
(352) 671-6742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003198506
—
FL
05
—
003198508
—
FL
Enumeration date
09/09/2013
Last updated
01/20/2023
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