| NPI | 1093829442 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-19 |
| Last Updated | 2022-11-16 |
| Authorized Official | Cynthia Romska CREDENTIALING SPECIALIST Phone: 3522592159 |
| Mailing Address | 1580 Santa Barbara Blvd The Villages, FL 32159-6827 United States Phone: (352) 259-2159 | Fax: (352) 674-4386 📍 View Map |
| Primary Practice Address | 1580 Santa Barbara Blvd, Suite C The Villages, FL 32159 United States Phone: (352) 259-2159 | Fax: (352) 259-5731 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 004699000 | - |
| Other (non-Medicare) | FL | K3300 | PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RN0300X – Internal Medicine, Nephrology | FL | ME95629 |
| No | 363LA2200X – Nurse Practitioner, Adult Health | FL | ARNP3378652 |
| Yes | 207R00000X – Internal Medicine | FL | ME0069935 |
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About NPI 1093829442
Premier Medical Associates All Florida, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093829442. The primary specialty listed is Internal Medicine. The organization is located in The Villages, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093829442?
NPI 1093829442 belongs to Premier Medical Associates All Florida, Llc, a Internal Medicine in The Villages, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093829442 active?
The current status of NPI 1093829442 in the NPPES registry is Active. The record was last updated on 2022-11-16.
What specialty is NPI 1093829442?
NPI 1093829442 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093829442?
You can verify NPI 1093829442 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093829442?
The primary practice address on file for NPI 1093829442 is 1580 Santa Barbara Blvd, The Villages, FL 32159. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093829442 issued?
NPI 1093829442 was first issued (enumerated) on 2006-08-19. The NPPES record was last updated on 2022-11-16.
Practice Location Map
Premier Medical Associates All Florida, Llc is located at 1580 Santa Barbara Blvd, The Villages, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Premier Medical Associates All Florida, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093829442. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Nephrology | ME95629 | FL |
| Nurse Practitioner, Adult Health | ARNP3378652 | FL |
| Internal Medicine | ME0069935 | FL |