Healthcare Provider Details

I. General information

NPI: 1528997848
Provider Name (Legal Business Name): PRIME FOR PREP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12550 BISCAYNE BLVD STE 213
NORTH MIAMI FL
33181-2501
US

IV. Provider business mailing address

12550 BISCAYNE BLVD STE 213
NORTH MIAMI FL
33181-2501
US

V. Phone/Fax

Practice location:
  • Phone: 779-367-7737
  • Fax: 855-576-9010
Mailing address:
  • Phone: 779-367-7737
  • Fax: 855-576-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID TAPIA
Title or Position: PRESIDENT
Credential:
Phone: 779-367-7737