PRESTIGE MEDICAL SERVICES & REHAB CENTER LLC NPI 1659644045

NPI Information

NPI: 1659644045
Provider Name: PRESTIGE MEDICAL SERVICES & REHAB CENTER LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2614 E COLONIAL DR
SUITE 400-5
ORLANDO, FL
ZIP 32803
Phone: (407) 897-1135
Get Directions

PRESTIGE MEDICAL SERVICES & REHAB CENTER LLC is a health service clinic center in Orlando, FL. PRESTIGE MEDICAL SERVICES & REHAB CENTER LLC NPI is 1659644045. The provider is registered as an organization entity type.

The provider's business location address is:

2614 E COLONIAL DR
SUITE 400-5
ORLANDO, FL
ZIP 32803-028
Phone: (407) 897-1135
Fax: (407) 897-1136

The provider's authorized official is Nereida Infante .
The authorized official title is Manager and has the following contact phone number (407) 897-1135.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 4/21/2014.

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
1	261QH0100X	Clinic/Center	Health Service	HCC9454	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GM816A	OTHER	FLORIDA	MEDICARE PTAN
2	008337700	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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