MEDICARE: PREMIER SERVICES MEDCENTER INC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1841140597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER SERVICES MEDCENTER INC

Provider Business Mailing Address
First Line	:	2830 NW 41ST ST STE G2
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 NW 41ST ST STE G2
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6667
Country	:	US
Telephone Number	:	786-906-6836
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	VANESSA CARTAYA
Credential	:
Telephone Number	:	786-906-6836

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “PREMIER SERVICES MEDCENTER INC ” Practice Location

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