Premier Medical Pediatrics Clinic Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER MEDICAL PEDIATRICS CLINIC INC

Practice address

315 E Ash St
Perry, FL 32347-2029

Phone

(850) 838-2121

Fax

(850) 838-1842

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Laurie Santana

Title

Cfo

Phone

(850) 584-3278

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Abdul Hamid Sofi, M.D.

  • Internal Medicine Physician
  • Perry, FL
  • NPI 1205885613
  NPD
• Tae Yu, DO

  • Family Medicine Physician
  • Perry, FL
  • NPI 1861440141
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1831342880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323480719",
            "telephone_number": "850-584-3278",
            "fax_number": "850-584-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472029",
            "telephone_number": "850-838-2121",
            "fax_number": "850-838-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL PEDIATRICS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-584-3278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Pfost, RPH
• Thu Trang Pham, DMD
• Marcia S Phillips
• Venette Pierre-Cover, D.O.
• Premier Medical Clinic
• Summer Broock Pridgeon
• Inez Danielle Quarterman, PHARMD
• Radiology Associates of Tallahassee PA
• Mohammed H Rafi, M.D
• Regent Medical and Aesthetic Clinic

• Pediatrics Physician in Perry, FL
• Providers in Perry, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.