Premier Pediatrics Forest
LBN: Premier Pediatrics Llc
Premier Pediatrics Forest is an health care organization with primary practice located at 14141 E Highway 40 , Silver Springs FL 34488-3910. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Premier Pediatrics Llc can be contacted via phone (352) 512-0466, or through Eunus, Shahab via phone (352) 671-6741.
Contact Information
Primary practice address
14141 E Highway 40
Silver Springs FL 34488-3910
Phone: (352) 512-0466
Fax: (352) 512-0374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1639740624 |
|---|---|
| LBN Legal business name | Premier Pediatrics Llc |
| DBA Doing business as | Premier Pediatrics Forest |
| Authorized official | Eunus, Shahab Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 9th, 2021 |
| Last updated | Jan 20th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639740624 | NPPES |
| Florida | MEDICAID | 111314300 |
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