NPIMap

Organization Active NPI

Premium Healthcare Holdings

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1366159097
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMIUM HEALTHCARE HOLDINGS
Practice address
9750 SW 24TH St
Miami, FL 33165-7598
Phone
(305) 265-4441
Fax
(305) 735-2276
NPI assigned
Nov 2, 2022
Organization subpart
Yes
Parent organization
PREMIUM HEALTHCARE HOLDINGS, LLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Keila Hoover, MDNPI 1417909375
Title
Owner
Phone
(305) 265-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9750 SW 24TH St
Miami, FL 33165-7598

Mailing address

2400 SW 69TH Ave
Miami, FL 33155-2919
Phone (305) 265-4441

National Provider Directory

National Provider Directory
Tax ID family
Premium Healthcare Holdings8 organizations share this tax ID, including this one
Part of
Premium Healthcare Holdings

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1366159097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552919",
            "telephone_number": "305-265-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657598",
            "telephone_number": "305-265-4441",
            "fax_number": "305-735-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTHCARE HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIUM HEALTHCARE HOLDINGS, LLLP",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-265-4441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.