OrganizationActive
Premium Medical Clinic PA
NPI 1730407420 · Pediatrics Physician · Orlando, FL
Premium Medical Clinic PA is a Pediatrics Physician organization in Orlando, FL (NPI 1730407420).
Provider details
- NPI number
- 1730407420
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Safaa Abdel-Al, President/Owner(407) 212-3060
- License
- ME97108 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12211 Regency Village Dr
Suite 2
Orlando, FL 32821-7813
Phone: (407) 212-3060
Fax: (877) 644-7808
Street-level locationGet directions
Mailing address
12211 Regency Village Dr
Orlando, FL 32821-7813
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2012-02-01
Frequently asked questions
- What is Premium Medical Clinic PA's NPI number?
- Premium Medical Clinic PA's National Provider Identifier (NPI) is 1730407420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Medical Clinic PA?
- Premium Medical Clinic PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Premium Medical Clinic PA located?
- Premium Medical Clinic PA's practice location on file with NPPES is 12211 Regency Village Dr, Orlando, FL 32821-7813.
- What is Premium Medical Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Premium Medical Clinic PA is (407) 212-3060.
- Who is the authorized official for Premium Medical Clinic PA?
- The authorized official listed on Premium Medical Clinic PA's NPPES record is Safaa Abdel-Al, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Medical Clinic PA's NPI active?
- Yes — Premium Medical Clinic PA's NPI (1730407420) is active in the NPPES registry as of the last update on 2012-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.