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Juan Premoli, MD
Urology Physician in Aventura, Florida
NPI 1053375584

Juan Premoli is a Urology Physician based in Fort Myers, FL. Juan Premoli practices in Aventura, FL and has the professional credentials of MD. The NPI Number for Juan Premoli is 1053375584 and holds a License No. ME87618 (Florida).

The current practice location address for Juan Premoli is 21150 Biscayne Blvd, Aventura, FL and can be reached out via phone at 305-466-9111 and via fax at 305-466-9127.

Location: 21150 Biscayne Blvd, Aventura, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053375584
Provider Name
Juan Premoli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21150 Biscayne Blvd, Aventura, FL, 33907-1412
Phone Number
305-466-9111
Fax Number
305-466-9127
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
275037600 05 FL
81710 01 FL BCBS FL
P01720865 01 FL SIMPLY HEALTHCARE
240750 01 FL WELLCARE
P0003165 01 FL FLORIDA HEALTHCARE PLUS
7845484 01 FL AETNA PROVIDER #
P00721043 01 FL RR MEDICARE PTAN
QMP000003854191 01 FL MOLINA
institution
Provider Business Practice Location Address Details
Address
21150 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1226
Phone Number
305-466-9111
Fax Number
305-466-9127
person
Provider Business Mailing Address Details
Address
21150 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1226
Phone Number
305-466-9111
Fax Number
305-466-9127
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME87618 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME87618 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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