Organization Active NPI

Premier Medical Staffing LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1679531164
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER MEDICAL STAFFING LLC
Practice address
1726 Medical Blvd Ste 101
Naples, FL 34110-1426
Phone
(239) 513-1992
Fax
(239) 513-9022
NPI assigned
May 3, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Mrs. Leslie C Davis
Title
Assistant Manager
Phone
(239) 513-1992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

1726 Medical Blvd Ste 101
Naples, FL 34110-1426

Mailing address

1726 Medical Blvd Ste 101
Naples, FL 34110-1426
Phone (239) 513-1992

Other identifiers 1

IdentifierTypeStateIssuer
275957800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1679531164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101426",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101426",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "239-513-1992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275957800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.