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PRESTIGE MEDICAL CLINIC NPI 1013698604


NPI Information

NPI: 1013698604
Provider Name: PRESTIGE MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2265522

Address:
4699 N FEDERAL HWY STE 209F-M
POMPANO BEACH, FL
ZIP 33064
Phone: (954) 800-6000
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PRESTIGE MEDICAL CLINIC is a primary care clinic center in Pompano Beach, FL. PRESTIGE MEDICAL CLINIC NPI is 1013698604. The provider is registered as an organization entity type.

The provider's business location address is:

4699 N FEDERAL HWY STE 209F-M
POMPANO BEACH, FL
ZIP 33064-510
Phone: (954) 800-6000
Fax: (954) 302-8409

The provider's authorized official is Rose Jean .
The authorized official title is Adminstrator and has the following contact phone number (561) 702-5740.

The CLIA number assigned to this NPI record is 10D2265522 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2023 and was last updated on 7/27/2023.


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
1261QP2300XClinic/CenterPrimary CareYes

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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