Provider Demographics
NPI:1871866616
Name:PREMIER MOBILE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PREMIER MOBILE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYKIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-519-2201
Mailing Address - Street 1:4330 SHERIDAN ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1406
Mailing Address - Country:US
Mailing Address - Phone:954-519-2201
Mailing Address - Fax:954-302-4994
Practice Address - Street 1:4330 SHERIDAN ST STE 201B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1406
Practice Address - Country:US
Practice Address - Phone:954-519-2201
Practice Address - Fax:954-302-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008025600Medicaid