Active NPI
Premier Medical Staffing LLC
- Family Medicine Physician
- Naples, FL
National Provider Identifier
1679531164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275957800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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
- Premier Endoscopy Center,LLC
- Premier Hospitalists of Southwest Florida LLC
- Premier Infectious Disease, LLC
- Premier Inpatient Partners LLC
- Premier Medical Concierge, LLC
- Premier Naples Chiropractic, PA
- Premier Private Home Care Corp
- Premier Private Home Care Corp
- Premier Psychology, PLLC
- Premier Pulmonary & Sleep LLC
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.