Organization · Type 2 NPI

Premise Health of Florida Medical PA

Clinic/Center · Orlando, FL

NPI number 1174042600 Active

Practice location

100 Global Innovation Cir
Orlando, FL 32825-5003

Fax (407) 306-2003

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1174042600

Premise Health of Florida Medical PA's National Provider Identifier is 1174042600, issued on Sep 15, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Orlando, FL. The record was last updated on Feb 2, 2026.