Organization · Type 2 NPI

Premise Health of Florida Medical PA

Multi-Specialty Clinic/Center · Leesburg, FL

NPI number 1700550902 Active

Practice location

1908 Center St
Leesburg, FL 34748-4812

Fax (352) 240-3944

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...

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About NPI 1700550902

Premise Health of Florida Medical PA's National Provider Identifier is 1700550902, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Leesburg, FL. The record was last updated on Feb 17, 2026.