Premoli, Juan

Premoli, Juan is an individual health care provider with primary practice located at 21150 Biscayne Blvd 404, Aventura FL 33180-1226. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Premoli, Juan can be contacted via phone (305) 466-9111.

Contact Information

Primary practice address
21150 Biscayne Blvd 404 Aventura FL 33180-1226
Phone: (305) 466-9111
Fax: (305) 466-9127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME87618 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME87618 Florida

Profile Details

NPI number 1053375584
LBN Legal business name Premoli, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053375584 NPPES
Florida MEDICAID 275037600
Florida Other 81710
Florida Other P01720865
Florida Other 240750
Florida Other P0003165
Florida Other 7845484
Florida Other P00721043
Florida Other QMP000003854191

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