Organization Active NPI

Premier Health Services PA

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1124546106
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER HEALTH SERVICES PA
Practice address
18501 Murdock Cir Ste 202
Port Charlotte, FL 33948-1039
Phone
(941) 681-2842
Fax
(941) 681-2845
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
James Guardino
Title
President/Ceo
Phone
(941) 681-2842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

18501 Murdock Cir Ste 202
Port Charlotte, FL 33948-1039

Mailing address

PO Box 1395
Englewood, FL 34295-1395
Phone (941) 681-2842

National Provider Directory

National Provider Directory

Locations

18501 Murdock Cir
Ste 202
Port Charlotte, FL 33948
Phone (941) 681-2842

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1124546106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342951395",
            "telephone_number": "941-681-2842",
            "fax_number": "941-681-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 MURDOCK CIR STE 202",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481039",
            "telephone_number": "941-681-2842",
            "fax_number": "941-681-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "GUARDINO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "941-681-2842"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.