Premier Health Group of Florida

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER HEALTH GROUP OF FLORIDA

Practice address

7726 Winegard Rd
2ND Floor Suite 34
Orlando, FL 32809-7147

Phone

(407) 729-2050

Fax

(407) 343-1966

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Choisette Damus, APRN

Title

Owner

Phone

(407) 955-2324

Specialties & licenses 2

Addresses

Other names 1

• Premier Health Group Of Florida Doing business as

Locations

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1609412147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 WINEGARD RD",
            "address_2": "2ND FLOOR SUITE 34",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097147",
            "telephone_number": "407-729-2050",
            "fax_number": "407-343-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 WINEGARD RD",
            "address_2": "2ND FLOOR SUITE 34",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097147",
            "telephone_number": "407-729-2050",
            "fax_number": "407-343-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH GROUP OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "DAMUS",
        "authorized_official_first_name": "CHOISETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-955-2324",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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": [
        {
            "organization_name": "Premier Health Group Of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Preller
• Michelle Renee Prellwitz
• Premcare Family Medical Center
• Premier Aging in Place Services, Inc.
• Premier Eye Associates, Inc.
• Premier Healthcare Solutions LLC
• Premier Home Healthcare, Inc
• Premier House Calls, LLC
• Premier Medical Care PLC
• Premier Oral & Facial Surgery

• Multi-Specialty Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.