PREMIER PEDIATRICS LLC (NPI# 1104205632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205632 |
| Entity Type | Organization |
| Organization Name | PREMIER PEDIATRICS LLC |
| Other Organization Name | PREMIER PEDIATRICS FOREST |
| Practice Address |
14141 E Highway 40 Unit B Silver Springs FL 34488-3933 |
| Mailing Address |
7960 Sw 60th Ave Ocala FL 34476-6457 |
| Practice Telephone | 3525120466 |
| Practice Fax Number | 3525120374 |
| Mailing Telephone | 3526716741 |
| Mailing Fax Number | 3526716742 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | FARID EUNUS (COO) |
| Authorized Official Telephone | 3526716741 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER PEDIATRICS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Pediatrics Forest | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1861664724 | Premier Pediatrics LLC | Occupational Therapist | 7803 E Marquise Dr, Tucson, AZ 85715-3773 | 2008-03-31 |
| 1750843496 | Premier Pediatrics LLC | Pediatrics | 7600 Georgia Ave Nw Ste 323, Washington, DC 20012-1616 | 2019-04-02 |
| 1083195762 | Premier Pediatrics LLC | Clinic/Center | 150 Richardson Xing, Arnold, MO 63010-6023 | 2018-08-22 |
| 1891120960 | Premier Pediatrics LLC | Pediatrics | 11223 N Williams St, Suite I, Dunnellon, FL 34432-8350 | 2013-09-09 |
| 1548400633 | Premier Pediatrics LLC | Clinic/Center | 7960 Sw 60th Ave, Ocala, FL 34476-6457 | 2009-03-02 |
| 1427115187 | Premier Pediatrics LLC | Pediatrics | 1251 Northfield Rd, Suite 301, Cedar City, UT 84720 | 2007-01-02 |
| Street Address |
14141 E HIGHWAY 40 UNIT B |
| City | SILVER SPRINGS |
| State | FL |
| Zip Code | 34488-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285157040 | Bassem Adel Elseify | Pharmacist | 15912 E.state Rd. 40, Silver Springs, FL 34488 | 2017-07-24 |
| 1295183622 | Miracle of Millions | Day Training, Developmentally Disabled Services | 3228 N W 23rd Place Apt 3, Silver Springs, FL 34488 | 2016-05-26 |
| 1952755654 | Soya Davis | Occupational Therapist | 14550 Ne 14th Street Rd, Silver Springs, FL 34488 | 2016-04-19 |
| 1144367202 | Chadwick James Amato | Pharmacist | 15912 East State Highway 40, Winn-dixie Pharmacy # 2206, Silver Springs, FL 34488 | 2007-01-30 |
| 1376648121 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 15843 East Highway 40, Silver Springs, FL 34488 | 2006-09-14 |
| 1518988815 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 15912 East State Rd 40, Silver Springs, FL 34488 | 2006-07-21 |
| 1497913461 | Crj Rehab Needs Inc | Occupational Therapist | 6346 Ne 61st Avenue Rd, Silver Springs, FL 34488-1160 | 2008-05-27 |
| 1952558231 | Laurie Maria Glenn | Occupational Therapist | 6346 Ne 61st Avenue Rd, Silver Springs, FL 34488-1160 | 2008-08-19 |
| 1669860870 | Henry Nelson Wellman | Internal Medicine | 5747 Ne 61st Avenue Rd, Silver Springs, FL 34488-1243 | 2014-12-23 |
| 1063957223 | The Guest House Ocala | Substance Abuse Rehabilitation Facility | 3230 Ne 55th Ave, Silver Springs, FL 34488-1721 | 2016-12-27 |
| Find all providers in zip 34488 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
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| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRINGS |
| Zip Code | 34488 |
Please comment or provide details below to improve the information on PREMIER PEDIATRICS LLC.
| 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.