Provider Demographics
NPI:1710126537
Name:PREMIER ASSOCIATES FOR THE HEALTHCARE OF WOMEN LLC
Entity Type:Organization
Organization Name:PREMIER ASSOCIATES FOR THE HEALTHCARE OF WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUEL
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:STOESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-630-8001
Mailing Address - Street 1:11380 PROSPERITY FARMS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3477
Mailing Address - Country:US
Mailing Address - Phone:561-630-8001
Mailing Address - Fax:844-971-6855
Practice Address - Street 1:11380 PROSPERITY FARMS RD STE 204
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3477
Practice Address - Country:US
Practice Address - Phone:561-630-8001
Practice Address - Fax:844-971-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty