Premier Provider Health Florida PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER PROVIDER HEALTH FLORIDA PA

Doing business as

Freedom Wound Physicians Florida

Practice address

7171 N University Dr Ste 300
Tamarac, FL 33321-2902

Phone

(954) 724-6454

Fax

(954) 724-6488

NPI assigned

Nov 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Han Pham Hulen, MD

Title

Owner

Phone

(214) 945-7313

Specialties & licenses 1

Addresses

Other names 1

• Freedom Wound Physicians Florida Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Safia Ansar Ali, M.D.

  • Family Medicine Physician
  • Stuart, FL
  • NPI 1265693238
  NPD
• Ashley Malcom Huddleston, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1568490621
  NPD
• Han Schmidly

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1770593436
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1053912550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 5200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815090",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N UNIVERSITY DR STE 300",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212902",
            "telephone_number": "954-724-6454",
            "fax_number": "954-724-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROVIDER HEALTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "HULEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-945-7313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Wound Physicians Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Huston Ray Powell Jr., PHARM.D.
• Sharon Powell
• Ramona Pramedass-Blom
• Fayssanya G Pratt, LMT
• Premier Healthworks Plus
• Prestige Healthcare LLC
• Prime Care Nurses Inc.
• Pro Procedure Rooms, PLLC
• Pro-Thotics Technology, Inc (Prothotics Health)
• Professional Rehab Ortho Labs Inc (Prolabs O&P)

• Internal Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.