Provider Demographics
NPI:1144265638
Name:PREFERRED HEALTHCARE SERVICES
Entity type:Organization
Organization Name:PREFERRED HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IOAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOARIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-527-1000
Mailing Address - Street 1:6541 44TH ST
Mailing Address - Street 2:SUITE 6001
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5962
Mailing Address - Country:US
Mailing Address - Phone:727-527-1000
Mailing Address - Fax:727-521-1313
Practice Address - Street 1:6541 44TH ST
Practice Address - Street 2:SUITE 6001
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5962
Practice Address - Country:US
Practice Address - Phone:727-527-1000
Practice Address - Fax:727-521-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5002261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL207712OtherWELLCARE
FL207712OtherWELLCARE
FLE1714Medicare ID - Type Unspecified