Premier Physician Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME90116 Issued in FL

Legal business name

PREMIER PHYSICIAN ASSOCIATES LLC

Practice address

13651 Hunters Oak Dr
Ste 101
Orlando, FL 32837-7679

Phone

(321) 946-6864

NPI assigned

Mar 16, 2015

Last updated

Mar 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Viola Jacobs, MD

Title

Owner

Phone

(321) 946-6864

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1396138319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328022648",
            "telephone_number": "321-946-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13651 HUNTERS OAK DR",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377679",
            "telephone_number": "321-946-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-946-6864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90116",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME85807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Healthcare Solutions LLC
• Premier Home Healthcare, Inc
• Premier House Calls, LLC
• Premier Medical Care PLC
• Premier Oral & Facial Surgery
• Premier Revenue Partners LLC
• Premier Specialists of Florida LLC (Premier Specialists of Florida)
• Premise Health of Florida Medical PA (The Wellness Center Operated by Premise Health)
• Premise Health of Florida Medical PA (Truist Orlando Health Center)
• Premise Health of Florida Medical PA (Comcast - Universal Studios FL)

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, 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 Mar 16, 2015; 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.