MEDICARE: PRESTANCE HEALTH

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1891630711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTANCE HEALTH

Provider Business Mailing Address
First Line	:	6586 ATLANTIC AVE STE 1170
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1617
Country	:	US
Telephone Number	:	561-562-0155
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 NW 46TH AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445
Country	:	US
Telephone Number	:	561-562-0155
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	FD TOUSSAINT
Credential	:	PIERRE
Telephone Number	:	561-562-0155

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “PRESTANCE HEALTH ” Practice Location

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