Healthcare Provider Details

I. General information

NPI: 1659047900
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: 08/17/2021
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 561-844-6300
  • Fax:
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