Premier Choice Medical Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PREMIER CHOICE MEDICAL GROUP LLC

Practice address

4851 NW 103Rd Ave Ste 55G
Sunrise, FL 33351-7948

Phone

(954) 251-4988

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Adam Stanson

Title

Owner

Phone

(954) 251-4988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1821865361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670251",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330670005",
            "telephone_number": "954-251-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 NW 103RD AVE STE 55G",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517948",
            "telephone_number": "954-251-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHOICE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "STANSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-251-4988"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.