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PREMIERE MEDICAL GROUP PA
NPI 1285813147
General Acute Care Hospital in Melbourne, FL

Active since October 29, 2007CLIA 10D2005721 · Waiver
2107 DAIRY RD, MELBOURNE, FL 32904(321) 676-7860(321) 956-8225 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premiere Medical Group Pa NPPES

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

PREMIERE MEDICAL GROUP PA (NPI 1285813147) is a healthcare organization registered as a general acute care hospital in Melbourne, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Miguel L Lorente, Owner, as its authorized official.

NPPES Registry Identity

NPI1285813147
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePREMIERE MEDICAL GROUP PA
Location Address2107 DAIRY RDMelbourne, FL 32904-5209
Mailing AddressPo Box 120043West Melbourne, FL 32912-0043 · (321) 676-7860 · Fax (321) 952-7224
Phone(321) 676-7860
Fax(321) 956-8225
Organization SubpartNo
Authorized OfficialMiguel L LorenteOwner · (321) 676-7860
Enumeration DateOctober 29, 2007
Last NPPES UpdateOctober 13, 2010
✔ NPI 1285813147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in FL · ME82880
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2107 DAIRY RD, Melbourne, FL 32904
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Other Identifiers 3

Medicare UPINH24300FL
Medicaid262684500FL
Medicare PINK4153FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2005721

Premiere Medical Group · Melbourne, FL
Active · expires Apr 1, 2028
CLIA Number10D2005721
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorMiguel Lorente
Laboratory Phone(321) 676-7860
Laboratory LocationPremiere Medical Group2107 Dairy Rd, Melbourne, FL 32904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIGUEL LYNN LORENTE M.D.
Internal Medicine
2107 DAIRY RD
MELBOURNE, FL 32904
Brevard County (321) 676-7860
DAIRY ROAD URGENT CARE LLC
Clinic/Center (Urgent Care)
2107 DAIRY RD
MELBOURNE, FL 32904
Brevard County (321) 956-8224
PHYSICIAN ASSOCIATES LLC
Internal Medicine (Pulmonary Disease)
2107 DAIRY RD
MELBOURNE, FL 32904
Brevard County (321) 259-1054
TIFFANY NOEL CARILLET PA
Physician Assistant
2107 DAIRY RD
MELBOURNE, FL 32904
Brevard County (321) 956-8224

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 Premiere Medical Group PA's NPI number?

The NPI number for Premiere Medical Group PA is 1285813147. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Premiere Medical Group PA located?

Premiere Medical Group PA is located at 2107 Dairy Rd, Melbourne, FL 32904. The listed phone number is (321) 676-7860.

What is Premiere Medical Group PA's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Premiere Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2005721) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premiere Medical Group PA was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.