MEDICARE: PREMIER MEDICAL SERVICES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326883885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2236 N CYPRESS BEND DR APT 103
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5612
Country	:	US
Telephone Number	:	754-457-3134
Fax Number	:

Provider Business Practice Location Address
First Line	:	2236 N CYPRESS BEND DR APT 103
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5612
Country	:	US
Telephone Number	:	754-457-3134
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DENECIA ANDERSON
Credential	:
Telephone Number	:	754-457-3134

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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