Premium Medical Center Corp

LBN: Premium Medical Center Corp
Premium Medical Center Corp is an health care organization with primary practice located at 6405 Nw 36Th St Ste 11 , Virginia Gardens FL 33166-6974. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Premium Medical Center Corp can be contacted via phone (786) 334-5047, or through Gutierrez Concepcion, Mabel via phone (786) 334-5047.

Contact Information

Primary practice address
6405 Nw 36Th St Ste 11 Virginia Gardens FL 33166-6974
Phone: (786) 334-5047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez Concepcion, Mabel
Phone: (786) 334-5047

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1053095463
LBN Legal business name Premium Medical Center Corp
DBA Doing business as
Authorized official Gutierrez Concepcion, Mabel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 2 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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