PRESTIGE MEDICAL LLC. NPI 1770121311

NPI Information

NPI: 1770121311
Provider Name: PRESTIGE MEDICAL LLC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2209673

Address:
103 S NAVY BLVD
PENSACOLA, FL
ZIP 32507
Phone: (850) 361-1502
Get Directions

PRESTIGE MEDICAL LLC. is a multi-specialty clinic center in Pensacola, FL. PRESTIGE MEDICAL LLC. NPI is 1770121311. The provider is registered as an organization entity type.

The provider's business location address is:

103 S NAVY BLVD
PENSACOLA, FL
ZIP 32507-603
Phone: (850) 361-1502
Fax: (850) 361-1503

The provider's authorized official is Brian Norris .
The authorized official title is Owner and has the following contact phone number (985) 377-8909.

The CLIA number assigned to this NPI record is 10D2209673 - other - multispecialty outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 12/13/2019.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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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