PREMIUM MEDICAL SERVICES GROUP INC
NPI 1023409455
Clinic/Center in Miami, FL

Active since February 06, 2015
2423 SW 147TH AVE, SUITE # 375, MIAMI, FL 33185(786) 529-6375(786) 504-9671 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About PREMIUM MEDICAL SERVICES GROUP INC

This page provides the complete NPI Profile along with additional information for Premium Medical Services Group Inc, a provider established in Miami, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023409455 assigned on February 2015. The practitioner's primary taxonomy code is 261Q00000X with license number ME106914 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Shahab Hyder Md (Medical Doctor)

NPI
1023409455 Verify this NPI
Provider Name
PREMIUM MEDICAL SERVICES GROUP INC
Entity Type
Organization
Location Address
2423 SW 147TH AVE SUITE # 375 MIAMI, FL 33185
Location Phone
(786) 529-6375
Location Fax
(786) 504-9671
Mailing Address
2423 SW 147TH AVE SUITE # 375 MIAMI, FL 33185
Mailing Phone
(786) 529-6375
Mailing Fax
(786) 504-9671
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2015
Last Update Date
02-06-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
ME106914
License State
FL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAHAB HYDER MD

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(786) 529-6375

Reviews for PREMIUM MEDICAL SERVICES GROUP INC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Occupational Therapist
2423 SW 147TH AVE, 137
MIAMI, FL 33185
Physical Therapist
2423 SW 147TH AVE, 137
MIAMI, FL 33185
Physical Therapist
2423 SW 147TH AVE, 137
MIAMI, FL 33185
Clinic/Center
2423 SW 147TH AVE, STE 156
MIAMI, FL 33185
Clinic/Center
2423 SW 147TH AVE, SUITE 373
MIAMI, FL 33185
Clinic/Center (Health Service)
2423 SW 147TH AVE, STE 375
MIAMI, FL 33185
Occupational Therapist
2423 SW 147TH AVE, 137
MIAMI, FL 33185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023409455, enumerated as an "organization" on February 06, 2015.

The provider is located at 2423 SW 147TH AVE SUITE # 375 MIAMI, FL 33185 and the phone number is (786) 529-6375.

Clinic/Center with taxonomy code 261Q00000X.