Premium Care Medical Associates Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIUM CARE MEDICAL ASSOCIATES INC

Practice address

104 N Evers St
Suite 101
Plant City, FL 33563-3300

Phone

(813) 659-2502

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Brian S Clukie

Title

President

Phone

(813) 659-2502

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Boully, PT

  • Physical Therapist
  • Plant City, FL
  • NPI 1649405044
  NPD (past)
• Michael James Boully Jr., P.T.

  • Physical Therapist
  • Sun City Center, FL
  • NPI 1134249592
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1780825547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N EVERS ST",
            "address_2": "SUITE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633300",
            "telephone_number": "813-659-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N EVERS ST",
            "address_2": "SUITE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633300",
            "telephone_number": "813-659-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-659-2502"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lezlee Powell, MA, BCBA
• Robert Powell IV, RPH
• Nicole Ann Power, DMD
• Laurel Powers, LCSW
• Gina Prakash, M.D.
• Prestige Healthcare Services
• Alexandria Price, OTR
• Primary Care Associates of Plant City PL
• Professional Behavior Analysis Inc
• Professional Christian Counseling Center, LLC

• Chiropractor in Plant City, FL
• Providers in Plant City, FL by specialty
• Chiropractor in Florida

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