PREMIER PHYSICIAN ASSOCIATES LLC (NPI# 1396138319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396138319 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIAN ASSOCIATES LLC |
| Practice Address |
13651 Hunters Oak Dr Ste 101 Orlando FL 32837-7679 |
| Mailing Address |
Po Box 2648 Orlando FL 32802-2648 |
| Practice Telephone | 3219466864 |
| Mailing Telephone | 3219466864 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. VIOLA JACOBS (OWNER) |
| Authorized Official Telephone | 3219466864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME85807 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME90116 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
13651 HUNTERS OAK DR STE 101 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-7679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287668 | Leslie Delacruz | Pharmacy Technician | 13651 Hunters Oak Dr, Orlando, FL 32837-7679 | 2020-05-22 |
| 1285006486 | Comfortable Care Dental Health Professionals, Pa | Dentist | 13651 Hunters Oak Dr, Suite 105a, Orlando, FL 32837-7679 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531126 | Clement Clinic Pa | Internal Medicine | 1317 Edgewater Dr # 2468, Orlando, FL 32804-6350 | 2020-09-08 |
| 1104475466 | Io Medical, Pllc | Internal Medicine | 11954 Narcoossee Rd Ste 2-108, Orlando, FL 32832-6998 | 2019-09-10 |
| 1487211769 | Premier Healthcare Solutions LLC | Internal Medicine | 8958 Conroy Windermere Rd, Orlando, FL 32835-3128 | 2019-05-22 |
| 1730646787 | Magic Medical Group Inc. | Internal Medicine | 9421 S Orange Blossom Trl Ste 19, Orlando, FL 32837-8320 | 2019-02-26 |
| 1902361629 | Jeff Valsin | Internal Medicine | 453 N Kirkman Rd Ste 203453, Orlando, FL 32811-1109 | 2019-02-06 |
| 1427525963 | Colmedical Care | Internal Medicine | 7824 Lake Underhill Rd Ste A, Orlando, FL 32822-8201 | 2018-11-01 |
| 1629568159 | Fortis Medical Group, LLC | Internal Medicine | 1803 Park Center Dr Ste 103, Orlando, FL 32835-6216 | 2018-05-10 |
| 1629570262 | Rolon Medical Pllc | Internal Medicine | 7680 Lower Gateway Loop Unit 518, Orlando, FL 32827-7195 | 2018-02-28 |
| 1275068975 | Donald Mark Demke | Internal Medicine | 11579 Acosta Ave, Orlando, FL 32836-8880 | 2017-05-01 |
| 1932649829 | Veronica E Scholer Caldentey Sr. | Internal Medicine | 11958 Inagua Dr, Orlando, FL 32827-7136 | 2017-02-27 |
| Find all providers in ORLANDO | ||||
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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.