Healthcare Provider Details
I. General information
NPI: 1093659229
Provider Name (Legal Business Name): PREMIER CARDIAC URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2479 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9213
US
IV. Provider business mailing address
38035 MEDICAL CENTER AVE
ZEPHYRHILLS FL
33540-1384
US
V. Phone/Fax
- Phone: 813-788-1400
- Fax: 813-788-7691
- Phone: 813-788-1400
- Fax: 813-788-7691
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUNIL
GUPTA
Title or Position: MANAGER
Credential: MD
Phone: 813-300-1069