Organization · Type 2 NPI

Premise Health of Florida Medical PA

Multi-Specialty Clinic/Center · Sanford, FL

NPI number 1669146718 Active

Practice location

1403 Medical Plaza Dr Ste 205
Sanford, FL 32771-1047

Fax (419) 453-2424

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1669146718

Premise Health of Florida Medical PA's National Provider Identifier is 1669146718, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Sanford, FL. The record was last updated on Feb 13, 2026.