PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1609767383
Clinic/Center - Multi-Specialty in Milton, FL

Active since July 11, 2025CLIA 10D2333237 · Waiver
4994 INNOVATION LANE, MILTON, FL 32583(448) 432-9110 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Jul 11, 2025 (2 updates tracked since 2025).

About Premise Health Of Florida Medical Pa NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA (NPI 1609767383), doing business as Premise Health Wellness Center - Santa Rosa, is a healthcare organization registered as a multi-specialty in Milton, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1609767383
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address4994 INNOVATION LANEMilton, FL 32583
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 11, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1609767383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4994 INNOVATION LANE, Milton, FL 32583

Other Names 1

Doing Business AsPremise Health Wellness Center - Santa Rosa

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 10D2333237

Premise Health Of Florida Medical, PA · Milton, FL
Active · expires Oct 30, 2027
CLIA Number10D2333237
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorLatoya Hicks
Laboratory Phone(448) 432-9110
Laboratory LocationPremise Health Of Florida Medical, PA4994 Innovation Lane, Milton, FL 32583
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of Florida Medical PA's NPI number?

The NPI number for Premise Health Of Florida Medical PA is 1609767383. It was assigned to this organization in the NPPES registry on July 11, 2025. The provider is doing business as Premise Health Wellness Center - Santa Rosa.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 4994 Innovation Lane, Milton, FL 32583. The listed phone number is (448) 432-9110.

What is Premise Health Of Florida Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Florida Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2333237) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Florida Medical PA was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.