Organization · Type 2 NPI
Premise Health of Florida Medical PA
Multi-Specialty Clinic/Center · Mount Dora, FL
NPI number
1386318434
Active
Practice location
2110 N Donnelly St Ste 200
Mount Dora, FL 32757-6967
Fax (903) 957-3195
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Mount Dora
About NPI 1386318434
Premise Health of Florida Medical PA's National Provider Identifier is 1386318434, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Mount Dora, FL. The record was last updated on Feb 4, 2026.