PREMIERE MEDICAL GROUP PA

NPI # 

Practice Address:

2107 Dairy Rd

Melbourne, FL, 32904-5209

Practice Phone:

321-676-7860

Practice Fax:

321-956-8225

License Number:

ME82880

License State:

FL

Taxonomy Grouping:

Hospitals

Taxonomy Classification:

General Acute Care Hospital

Taxonomy Code:

282N00000X