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PRESTIGE MEDICAL GROUP LLC NPI 1528440781


NPI Information

NPI: 1528440781
Provider Name: PRESTIGE MEDICAL GROUP LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6924 PROFESSIONAL PKWY E
SUITE B
LAKEWOOD RANCH, FL
ZIP 34240
Phone: (941) 752-6002
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PRESTIGE MEDICAL GROUP LLC is a specialist in Lakewood Ranch, FL. The provider is 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. PRESTIGE MEDICAL GROUP LLC NPI is 1528440781. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6924 PROFESSIONAL PKWY E
SUITE B
LAKEWOOD RANCH, FL
ZIP 34240-414
Phone: (941) 752-6002
Fax: (941) 752-6008

The provider's authorized official is Timothy Jay .
The authorized official title is Owner and has the following contact phone number (941) 362-4000.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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