NPIMap

Organization Active NPI

Premiere Care Providers LLC

  • Internal Medicine Physician
  • Lady Lake, FL
National Provider Identifier
1225675895
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIERE CARE PROVIDERS LLC
Practice address
8550 NE 138TH LN BLDG 800
Lady Lake, FL 32159-6816
Phone
(352) 391-5299
Fax
(877) 786-6531
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Deborah Townsend
Title
Office Manager
Phone
(352) 391-5299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8550 NE 138TH LN BLDG 800
Lady Lake, FL 32159-6816

Mailing address

8550 NE 138TH LN BLDG 800
Lady Lake, FL 32159-6816
Phone (352) 391-5299

National Provider Directory

National Provider Directory

Locations

8550 NE 138th Ln
#138
Lady Lake, FL 32159

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1225675895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN BLDG 800",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596816",
            "telephone_number": "352-391-5299",
            "fax_number": "877-786-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN BLDG 800",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596816",
            "telephone_number": "352-391-5299",
            "fax_number": "877-786-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-391-5299"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.