OrganizationActive
Premier Physician Consulting
NPI 1902592207 · Integrative Medicine Physician · Port Orange, FL
Provider details
- NPI number
- 1902592207
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Delicia Haynes, President(386) 310-2052
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1270 Reed Canal Rd Apt 6308
Port Orange, FL 32129-9188
Phone: (386) 341-8886
Approximate (ZIP-level) locationGet directions
Mailing address
1270 Reed Canal Rd Apt 6308
Port Orange, FL 32129-9188
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.