MEDICARE: PREMISE HEALTH OF FLORIDA MEDICAL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1477391514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF FLORIDA MEDICAL PA

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 120
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 COLONIAL CENTER PKWY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4764
Country	:	US
Telephone Number	:	407-384-4380
Fax Number	:	407-264-6364

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD WILLIAM SCHWARTZ
Credential	:
Telephone Number	:	844-407-7557

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	03/04/2026

Similar Medicare Providers

1861668105 — DR. FREDERICK L. DATZ M.D.
Practice Location Address:

4615 FORTUNA WAY
SALT LAKE CITY, UT
84124-4764

Practice Phone: 801-272-0634
Practice Fax:

1275942518 — SOUTH LAKE FAMILY DENTISTRY
Practice Location Address:

10515 20TH ST SE , SUITE 201
LAKE STEVENS, WA
98258-4764

Practice Phone: 425-334-9600
Practice Fax: 425-334-9900

1588023261 — FLORIDA GULFCOAST MEDICAL IMAGING LLC
Practice Location Address:

9822 TREE TOPS LAKE RD
TAMPA, FL
33626-4764

Practice Phone: 304-549-5310
Practice Fax: 606-644-0444

1437609930 — DR. KIMBERLY MICHELLE BAERRESEN PH.D.
Practice Location Address:

602 LAKE ST , APT 2
HUNTINGTON BEACH, CA
92648-4764

Practice Phone: 714-642-9519
Practice Fax:

1447041967 — VESLANDE DANIEL
Practice Location Address:

1030 S B ST APT 2
LAKE WORTH, FL
33460-4764

Practice Phone: 561-816-1917
Practice Fax:

1861379521 — TAYLOR STOECKERT EUBANK APRN
Practice Location Address:

801 INTERNATIONAL PKWY STE 500
LAKE MARY, FL
32746-4763

Practice Phone: 407-869-4770
Practice Fax:

Directions to “PREMISE HEALTH OF FLORIDA MEDICAL PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.