MEDICARE: PRESTIGECARE INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0501067	FL

General Provider Information

NPI Number	:	1265426068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTIGECARE INC

Provider Business Mailing Address
First Line	:	777 S STATE ROAD 7
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33068-2803
Country	:	US
Telephone Number	:	954-590-2156
Fax Number	:	954-590-2180

Provider Business Practice Location Address
First Line	:	777 S STATE ROAD 7
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33068-2803
Country	:	US
Telephone Number	:	954-590-2156
Fax Number	:	954-590-2180

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	ALVAREZ J ADA
Credential	:
Telephone Number	:	954-490-2156

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	08/22/2020

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Directions to “PRESTIGECARE INC ” Practice Location

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