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NPI Code Detail

MEDICARE: PRIME HEALTH SERVICES LLC

MEDICARE: PRIME HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1760117618
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIME HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 8900 SW 117TH AVE STE C205
Second Line :
City : MIAMI
State : FL
Zip : 33186-2185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8900 SW 117TH AVE STE C205
Second Line :
City : MIAMI
State : FL
Zip : 33186-2185
Country : US
Telephone Number : 833-200-5388
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : VICTOR CRUZ
Credential :
Telephone Number : 833-200-5388
Provider Enumeration Date : 07/22/2022
Last Update Date : 07/22/2022

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Directions to “PRIME HEALTH SERVICES LLC ” Practice Location

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