Healthcare Provider Details

I. General information

NPI: 1891630711
Provider Name (Legal Business Name): PRESTANCE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 NW 46TH AVE
DELRAY BEACH FL
33445
US

IV. Provider business mailing address

6586 ATLANTIC AVE STE 1170
DELRAY BEACH FL
33446-1617
US

V. Phone/Fax

Practice location:
  • Phone: 561-562-0155
  • Fax:
Mailing address:
  • Phone: 561-562-0155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: FD TOUSSAINT
Title or Position: MGR
Credential: PIERRE
Phone: 561-562-0155