Provider Demographics
NPI:1750558813
Name:PREMIER CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:PREMIER CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-559-6369
Mailing Address - Street 1:3850 SW 87TH AVE
Mailing Address - Street 2:#306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5400
Mailing Address - Country:US
Mailing Address - Phone:305-559-6369
Mailing Address - Fax:305-559-6371
Practice Address - Street 1:3850 SW 87TH AVE
Practice Address - Street 2:#306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5400
Practice Address - Country:US
Practice Address - Phone:305-559-6369
Practice Address - Fax:305-559-6371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty