Brandon Premier Healthcare Pa

LBN: Brandon Premier Healthcare Pa
Brandon Premier Healthcare Pa is an health care organization with primary practice located at 907 N Parsons Ave , Brandon FL 33510-3107. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Brandon Premier Healthcare Pa can be contacted via phone (813) 689-8020, or through Morgan, Hillary Lissorn via phone (813) 689-8020.

Contact Information

Primary practice address
907 N Parsons Ave Brandon FL 33510-3107
Phone: (813) 689-8020
Fax: (813) 689-8381
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Hillary Lissorn ARNP
Phone: (813) 689-8020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2750432 Florida

Profile Details

NPI number 1548463599
LBN Legal business name Brandon Premier Healthcare Pa
DBA Doing business as
Authorized official Morgan, Hillary Lissorn ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 28th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548463599 NPPES
Florida MEDICAID 274805300

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