NPI 1023575495

Premiermd Sim, LLC

Organisation Exclusive Provider Organization Ft Lauderdale, FL

Practice location

Address: 3465 Galt Ocean Dr STE 203, Ft Lauderdale, FL 33308-7077
Phone: (954) 561-5135
Fax: (954) 566-9997

Authorised official

Name: Victor Toledano
Title: President
Phone: (954) 561-5135

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1023575495
Entity type: Organization
NPI issued: 21 Feb 2019
Record last updated: 21 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.