Premium Medical Center Corp
Premium Medical Center Corp is a Community/Behavioral Health Agency in Virginia Gardens, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6405 NW 36th St Ste 111Virginia Gardens, FL 33166-6977
Phone: (786) 334-5047
Fax: (786) 334-5048
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1053971937 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deivys Gonzalez Oliva — Authorized Official · (786) 334-5047 |
| NPI enumerated | June 13, 2019 |
| Last updated in NPPES | January 14, 2025 |
| Certification date | January 14, 2025 |
| Mailing address | 6405 Nw 36th St Ste 111, Virginia Gardens, FL 33166-6977 |