NPI 1053375584

Juan Premoli, MD

Practitioner Urology Physician Aventura, FL

Practice location

Address: 21150 Biscayne Blvd 404, Aventura, FL 33180-1226
Phone: (305) 466-9111
Fax: (305) 466-9127
Mailing address: 2234 Colonial Blvd Managed Care Dept, Fort Myers, FL 33907-1412

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence ME87618 (FL)

Other Urology providers in Florida →

Specialist

Other Service Providers Taxonomy 174400000X Licence ME87618 (FL)

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Registry record

NPI: 1053375584
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2006
Record last updated: 10 Apr 2017

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.