Active NPI
Premier Medical Care PLC
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1730396201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 74544
- Legal business name
- PREMIER MEDICAL CARE PLC
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 992-4882
- Fax
- (407) 915-4258
- NPI assigned
- May 16, 2007
- 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
- Dr. Shaik Ejazuddin, MD
- Title
- President
- Phone
- (407) 992-4882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 74544 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
PO Box 690024
Orlando, FL 32869-0024
Phone (407) 992-4882
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Orlando, FL
- NPI 1477584357
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1386684983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353283200000",
"number": "1730396201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690024",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328690024",
"telephone_number": "407-992-4882",
"fax_number": "407-915-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-992-4882",
"fax_number": "407-915-4258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL CARE PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2012-11-19",
"status": "A",
"authorized_official_last_name": "EJAZUDDIN",
"authorized_official_first_name": "SHAIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-992-4882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 74544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Premier Eye Associates, Inc.
- Premier Health Group of Florida
- Premier Healthcare Solutions LLC
- Premier Home Healthcare, Inc
- Premier House Calls, LLC
- Premier Oral & Facial Surgery
- Premier Physician Associates LLC
- Premier Revenue Partners LLC
- Premier Specialists of Florida LLC
- Premise Health of Florida Medical PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.