Premier Ob/Gyn

LBN: Premier Ob/Gyn
Premier Ob/Gyn is an health care organization with primary practice located at 2727 W Dr Martin Luther King Jr Blvd Suite 630, Tampa FL 33607-6383. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Premier Ob/Gyn can be contacted via phone (813) 876-6000, or through Gonzalez, Vickie L via phone (813) 876-6000.

Contact Information

Primary practice address
2727 W Dr Martin Luther King Jr Blvd Suite 630 Tampa FL 33607-6383
Phone: (813) 876-6000
Fax: (813) 876-0590
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Vickie L
Phone: (813) 876-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 43544 Florida

Profile Details

NPI number 1174663694
LBN Legal business name Premier Ob/Gyn
DBA Doing business as
Authorized official Gonzalez, Vickie L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 4th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174663694 NPPES
Florida MEDICAID 0615498

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