MEDICARE: PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1164962197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 120
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6505 BLUE LAGOON DR
Second Line	:	2ND FLOOR
City	:	MIAMI
State	:	FL
Zip	:	33126-6009
Country	:	US
Telephone Number	:	786-273-4444
Fax Number	:	786-273-4666

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JONATHAN LEIZMAN
Credential	:	MD
Telephone Number	:	216-479-9063

Provider Enumeration Date	:	02/23/2017
Last Update Date	:	08/09/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1942827548 — DAVID BRIZUELA
Practice Location Address:

6009 SW 114TH PL
MIAMI, FL
33173-1090

Practice Phone: 786-942-8066
Practice Fax:

1194381558 — ARELYS PEREZ
Practice Location Address:

5301 SW 137TH CT
MIAMI, FL
33175-6009

Practice Phone: 786-348-9880
Practice Fax:

1740949965 — FENIX HEALTH CENTER INC
Practice Location Address:

5901 NW 183RD ST STE 137
MIAMI GARDENS, FL
33015-6009

Practice Phone: 305-974-4049
Practice Fax:

1124774344 — LAUREN PERNA
Practice Location Address:

5900 SW 46TH ST
MIAMI, FL
33155-6009

Practice Phone: 305-975-2876
Practice Fax:

1770260085 — SHAYLING BELENO
Practice Location Address:

1470 NE 123RD ST APT 1216
NORTH MIAMI, FL
33161-6009

Practice Phone: 305-414-4654
Practice Fax:

Directions to “PREMISE HEALTH OF FLORIDA MEDICAL, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.