Premier Pediatrics Llc

LBN: Premier Pediatrics Llc
Premier Pediatrics Llc is an health care organization with primary practice located at 7960 Sw 60Th Ave Ste 100 , Ocala FL 34476-6457. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Premier Pediatrics Llc can be contacted via phone (352) 671-6741, or through Eunus, Shahab via phone (352) 671-6741.

Contact Information

Primary practice address
7960 Sw 60Th Ave Ste 100 Ocala FL 34476-6457
Phone: (352) 671-6741
Fax: (352) 671-6742
Website:
Map and Directions
Authorized official contact:
Name: Eunus, Shahab Doctor of Medicine (MD)
Phone: (352) 671-6741

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME96086 Florida
Ambulatory Health Care Facilities / Rural Health 261QR1300X ME96086 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1548400633
LBN Legal business name Premier Pediatrics Llc
DBA Doing business as
Authorized official Eunus, Shahab Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2009
Last updated Jan 20th, 2023 - about 3 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 1548400633 NPPES
Florida MEDICAID 003198500
Florida MEDICAID 003198501

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