Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier OB/GYN

Organization Obstetrics & Gynecology Physician · NPI 1174663694

Premier OB/GYN is an Obstetrics & Gynecology Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

2727 W Dr Martin Luther King Jr Blvd Ste 630
Tampa, FL 33607-6383
Phone: (813) 876-6000
Fax: (813) 876-0590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME 43544 (FL)

Record details

NPI number1174663694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Gonzalez — Office Manager · (813) 876-6000
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJanuary 4, 2012
Mailing address2727 W Dr Mlk Jr Blvd, Suite 630, Tampa, FL 33607

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