PREMIUM HEALTH SERVICES (NPI# 1275802621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275802621 |
| Entity Type | Organization |
| Organization Name | PREMIUM HEALTH SERVICES |
| Other Organization Name | EXPRESS CARE OF TAMPA BAY |
| Practice Address |
6015 Rex Hall Ln Apollo Beach FL 33572-2657 |
| Mailing Address |
107 W Robertson St Brandon FL 33511-5111 |
| Practice Telephone | 8136907589 |
| Mailing Telephone | 8136514100 |
| Mailing Fax Number | 8136514111 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | DR. KHAWAJA A RAHMAN (DIRECTOR) |
| Authorized Official Telephone | 8136907589 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME79013 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Express care of Tampa bay | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIUM HEALTH SERVICES, INC. | 9121 Red Branch Rd., Ste. A, Columbia, Maryland 21045 |
| Street Address |
6015 REX HALL LN |
| City | APOLLO BEACH |
| State | FL |
| Zip Code | 33572-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298134 | Khawaja Atiq Rahman | Internal Medicine | 6015 Rex Hall Ln, Apollo Beach, FL 33572-2657 | 2006-03-08 |
| 1265671861 | Diane Marla Sabel | Physician Assistant | 6015 Rex Hall Ln, Apollo Beach, FL 33572-2657 | 2009-02-05 |
| 1386700797 | Express Care of Tampa Bay, LLC | Internal Medicine | 6015 Rex Hall Ln, Apollo Beach, FL 33572-2657 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367001 | Carolyne P Cole | Marriage & Family Therapist | Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 | 2020-02-10 |
| 1295380111 | Florida Home Care Associates LLC | In Home Supportive Care | 5948 Frond Way, Apollo Beach, FL 33572 | 2019-08-07 |
| 1386156297 | Orthopros Pllc | Dentist | 423 Apollo Beach Blvd, Apollo Beach, FL 33572 | 2017-11-01 |
| 1588907521 | Raymond Eric Major | Family Medicine | 917 Symphony Isles Bl, Apollo Beach, FL 33572 | 2013-03-28 |
| 1760780399 | Sharon Ann Collier | Dentist | 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 | 2011-03-07 |
| 1003091380 | John R Hayden | Chiropractor | 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 | 2008-01-04 |
| 1275541195 | William H Smith | Massage Therapist | 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 | 2006-08-04 |
| 1922023639 | Theresa Marie Thiele | Physician Assistant | 201 Flamingo Dr, Apollo Beach, FL 33572 | 2006-07-13 |
| 1912940073 | Suzzette Marie Svercek | Massage Therapist | 813 Chipaway Drive, Apollo Beach, FL 33572 | 2006-06-14 |
| 1457320194 | Accupath Plus LLC | Clinical Medical Laboratory | 5938 Frond Way, Apollo Beach, FL 33572 | 2006-03-15 |
| Find all providers in zip 33572 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | APOLLO BEACH |
| Zip Code | 33572 |
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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.