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PREMIERMD IPA, LLC
NPI 1134536451
Internal Medicine in Fort Lauderdale, FL

Active since July 18, 2014
3465 GALT OCEAN DRIVE, 203, FORT LAUDERDALE, FL 33308(954) 561-5135(954) 561-5180 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premiermd Ipa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERMD IPA, LLC (NPI 1134536451) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since July 2014. The organization lists David Fater, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1134536451
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIERMD IPA, LLC
Location Address3465 GALT OCEAN DRIVE, 203Fort Lauderdale, FL 33308-7003
Mailing Address3465 Galt Ocean Drive, 203Fort Lauderdale, FL 33308-7003 · (954) 561-5135 · Fax (954) 561-5180
Phone(954) 561-5135
Fax(954) 561-5180
Organization SubpartNo
Authorized OfficialDavid FaterChief Operating Officer · (954) 561-5135
Enumeration DateJuly 18, 2014
✔ NPI 1134536451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3465 GALT OCEAN DRIVE, Fort Lauderdale, FL 33308
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiermd Ipa, LLC's NPI number?

The NPI number for Premiermd Ipa, LLC is 1134536451. It was assigned to this organization in the NPPES registry on July 18, 2014.

Where is Premiermd Ipa, LLC located?

Premiermd Ipa, LLC is located at 3465 Galt Ocean Drive 203, Fort Lauderdale, FL 33308. The listed phone number is (954) 561-5135.

What is Premiermd Ipa, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Premiermd Ipa, LLC was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.