Provider Demographics
NPI:1225329758
Name:TRI COUNTY PREMIER MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:TRI COUNTY PREMIER MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:U
Authorized Official - Last Name:BROWNE KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-771-8262
Mailing Address - Street 1:3490 E LAKE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2421
Mailing Address - Country:US
Mailing Address - Phone:727-771-8262
Mailing Address - Fax:727-897-5722
Practice Address - Street 1:3490 E LAKE RD
Practice Address - Street 2:SUITE C
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2421
Practice Address - Country:US
Practice Address - Phone:727-771-8262
Practice Address - Fax:727-897-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty