PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1669146718
Clinic/Center - Multi-Specialty in Sanford, FL

Active since August 03, 2021CLIA 10D2046990 · Waiver
1403 MEDICAL PLAZA DR STE 205, SANFORD, FL 32771(407) 320-0870(419) 453-2424 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Aug 3, 2021 (2 updates tracked since 2021).

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 1669146718), doing business as City Of Sanford, is a healthcare organization registered as a multi-specialty in Sanford, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1669146718
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address1403 MEDICAL PLAZA DR STE 205Sanford, FL 32771-1047
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(419) 453-2424
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 3, 2021
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1669146718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1403 MEDICAL PLAZA DR STE 205, Sanford, FL 32771

Other Names 1

Doing Business AsCity Of Sanford

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 10D2046990

Premise Health Of Florida Medical, PA · Sanford, FL
Active · expires Sep 13, 2026
CLIA Number10D2046990
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorKaren Campbell
Laboratory Phone(407) 513-4150
Laboratory LocationPremise Health Of Florida Medical, PA1403 Medical Plaza Dr - Ste 205, Sanford, FL 32771
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
1403 MEDICAL PLAZA DR STE 205
SANFORD, FL 32771
Family Medicine
1403 MEDICAL PLAZA DR STE 205
SANFORD, FL 32771

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 1669146718. It was assigned to this organization in the NPPES registry on August 3, 2021. The provider is doing business as City of Sanford.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 1403 Medical Plaza Dr Ste 205, Sanford, FL 32771. The listed phone number is (407) 320-0870.

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 10D2046990) is associated with this NPI, valid through September 13, 2026. 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 February 13, 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.