Healthcare Provider Details

I. General information

NPI: 1952239337
Provider Name (Legal Business Name): PREMIER HEALTHCARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NW 79TH AVE STE 229
DORAL FL
33122-1085
US

IV. Provider business mailing address

2500 NW 79TH AVE STE 229
DORAL FL
33122-1085
US

V. Phone/Fax

Practice location:
  • Phone: 954-775-8125
  • Fax:
Mailing address:
  • Phone: 954-775-8125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARIEL GONZALEZ
Title or Position: OWNER
Credential:
Phone: 754-273-2500