Healthcare Provider Details

I. General information

NPI: 1245185446
Provider Name (Legal Business Name): PREMIER CARE OF CENTRAL FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 N WESTMONTE DR 1ST AND 2ND FL
ALTAMONTE SPRINGS FL
32714
US

IV. Provider business mailing address

679 W OXFORD DR
DELTONA FL
32725-8457
US

V. Phone/Fax

Practice location:
  • Phone: 203-554-0018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHANTAL COFFY
Title or Position: OWNER
Credential:
Phone: 203-554-0018