PRIME HEALING CORP


Address: 10101 W Sample Rd, Coral Springs, FL 33065-3907
Phone: 9548643996

PRIME HEALING CORP (NPI# 1356984652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356984652
Entity Type Organization
Organization Name PRIME HEALING CORP
Practice Address 10101 W Sample Rd
Coral Springs
FL 33065-3907
Practice Telephone 9548643996
Practice Fax Number 3472271368
Mailing Telephone 9548643996
Mailing Fax Number 3472271368
Enumeration Date 2019-10-20
Last Update Date 2019-10-20
Authorized Official Name MR. TONY OUSTABASSIDIS (CEO)
Authorized Official Telephone 9548643996
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 10101 W SAMPLE RD
City CORAL SPRINGS
State FL
Zip Code 33065-3907

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City CORAL SPRINGS
Zip Code 33065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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