Organization
PREMIUM GROUP CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIDAD CORVEA (PRESIDENT)
(786) 000-0000
Entity
Organization
Contact information
Practice address
4445 W 16TH AVE, 600, HIALEAH, FL 33012-7189
(786) 000-0000
Mailing address
4445 W 16TH AVE, 600, HIALEAH, FL 33012-7189
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
07/21/2022
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