PREMIER MED PA (NPI# 1053877506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053877506 |
| Entity Type | Organization |
| Organization Name | PREMIER MED PA |
| Practice Address |
2906 17th St. St Cloud FL 34769 |
| Mailing Address |
7512 Dr Phillips Blvd Ste 50-344 Orlando FL 32819-5420 |
| Practice Telephone | 4075436306 |
| Mailing Telephone | 4075436306 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | JAUVID BEHRAM AYADI (OWNER) |
| Authorized Official Telephone | 4073522542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
2906 17TH ST. |
| City | ST CLOUD |
| State | FL |
| Zip Code | 34769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| 1386055952 | Central Florida Infectious Disease Consultants Inc | Internal Medicine | 1600 Budlinger Ave # A, St Cloud, FL 34769 | 2014-05-16 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144586918 | John D Mayerhofer | Hospitalist | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2012-04-06 |
| 1346536885 | Cory Alan Yarke | Hospitalist | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927632 | Leonor Balart | Hospitalist | 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 | 2020-09-19 |
| 1114484813 | Best Medical LLC | Hospitalist | 11604 Orange Palm Way, Tampa, FL 33626-4746 | 2019-02-28 |
| 1053878157 | Hospitalists One, LLC | Hospitalist | 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 | 2019-02-25 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1538652979 | Geobel Buchillon | Hospitalist | 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 | 2018-06-11 |
| 1619469483 | Hospitalis10 Inc | Hospitalist | 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 | 2018-06-06 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1467965947 | Acure Medical Group Corp | Hospitalist | 1261 Sw 153rd Path, Miami, FL 33194-2678 | 2017-11-07 |
| 1760992317 | Casey Miller | Hospitalist | 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 | 2017-10-10 |
| 1720598741 | Gabrielle Mount Borrero | Hospitalist | 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.