Premier Physicians of South Florida LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PREMIER PHYSICIANS OF SOUTH FLORIDA LLC

Practice address

950 N Federal Hwy Ste 105
Pompano Beach, FL 33062-4325

Phone

(888) 879-4975

Fax

(954) 781-7173

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Rene Molina

Title

Director of Credentialing & Contrac

Phone

(954) 533-7705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1255913018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "888-879-4975",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY STE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624325",
            "telephone_number": "888-879-4975",
            "fax_number": "954-781-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING & CONTRAC",
        "authorized_official_telephone_number": "954-533-7705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health & Wellness Center Corp
• Premier Health Clinic, Inc
• Premier Health Clinic, LLC
• Premier Medical Health & Wellness
• Premier Medical Services
• Sheri Yolanda Prentiss, M.D., M.P.H.
• Prestige Medical Clinic
• Prestine Medical Supplies, Inc
• Renee Pretsky
• Anthony Joseph Previtera, CAP

• General Practice Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.