Healthcare Provider Details

I. General information

NPI: 1710126537
Provider Name (Legal Business Name): PREMIER ASSOCIATES FOR THE HEALTHCARE OF WOMEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S MAIN ST
BELLE GLADE FL
33430-3426
US

IV. Provider business mailing address

2700 PGA BLVD STE 103
PALM BEACH GARDENS FL
33410-2958
US

V. Phone/Fax

Practice location:
  • Phone: 561-996-9573
  • Fax: 855-808-3992
Mailing address:
  • Phone: 561-630-8001
  • Fax: 561-630-8007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUEL TYRONE STOESSEL
Title or Position: OWNER
Credential: MD,PA
Phone: 561-630-8001