PREMIERE MEDICAL GROUP PA
Hospitals at Dairy Rd, Melbourne, FL

License number
Florida ME82880
Category
Hospitals
Type
General Acute Care Hospital
Owner
Name: DR. MIGUEL L LORENTE M.D.
Title: OWNER
Phone: (321) 676-7860
Address
Address
2107 Dairy Rd, Melbourne, FL 32904
National Provider ID: 1285813147
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Premiere Medical Group, PA

Melbourne, FL

Industry:
Health/Allied Services
Doing business as:
Premiere Medical Group
Registration:
Jan 22, 2003
Phone:
(321) 676-7860 (Phone)
Addresses:
2107 Dairy Rd, Melbourne, FL 32904
PO Box 120043, Melbourne, FL 32912
State ID:
P03000008085
Business type:
Domestic for Profit Corporation
S:
Miguel Lorente (Director),Christiane V. Harel
Agent:
Janes, Key, & Dinho, Pa
Categories:
Billing Services, Internal Medicine Physicians & Surgeons, Physicians & Surgeons

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