PRESTIGE MEDIC SERVICES & REHAB CENTER LLC (NPI# 1588074199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588074199 |
| Entity Type | Organization |
| Organization Name | PRESTIGE MEDIC SERVICES & REHAB CENTER LLC |
| Practice Address |
2614 E Colonial Dr Suite 400-5 Orlando FL 32803-5028 |
| Mailing Address |
2614 E Colonial Dr Ste 400-5 Orlando FL 32803-5029 |
| Practice Telephone | 4078971135 |
| Practice Fax Number | 4078971136 |
| Mailing Telephone | 4078971135 |
| Mailing Fax Number | 4078971136 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | NEREIDA INFANTE (OWNER) |
| Authorized Official Telephone | 4078971135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
HCC9454 | FL | Ambulatory Health Care Facilities |
| Street Address |
2614 E COLONIAL DR SUITE 400-5 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891072096 | Prestige Massage & Rehab Center, LLC | Clinic/Center | 2614 E Colonial Dr, Suite 400-5, Orlando, FL 32803-5028 | 2011-11-16 |
| 1649601782 | Prestige Medical Serv & Reh Cent | Clinic/Center | 2614 E Colonial Dr, Ste 400-5, Orlando, FL 32803-5028 | 2013-11-27 |
| 1609208370 | Tammy Tadom Md Pa | Clinic/Center | 2614 E Colonial Dr, Suite 400-5, Orlando, FL 32803-5028 | 2013-08-05 |
| 1740626522 | Prestige Medi Services & Rehab | Clinic/Center | 2614 E Colonial Dr, Suite 400-5, Orlando, FL 32803-5028 | 2013-05-20 |
| 1659644045 | Prestige Medical Services & Rehab Center LLC | Clinic/Center | 2614 E Colonial Dr, Suite 400-5, Orlando, FL 32803-5028 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240333 | Auto Accident Health & Rehab, LLC | Clinic/Center | 2140 Bruton Blvd, Orlando, FL 32805-5717 | 2020-09-23 |
| 1023660800 | Solid Solution Home Care | Clinic/Center | 2612 Silkwood Cir Apt 722, Orlando, FL 32818-3378 | 2019-07-12 |
| 1134673130 | Probody Sports Performance | Clinic/Center | 4798 N Orange Blossom Trl, Orlando, FL 32810-1601 | 2016-08-08 |
| 1689025660 | Elite Mobile Labs, LLC | Clinic/Center | 5824 Lake Pointe Village Cir, 501, Orlando, FL 32822-3570 | 2016-06-30 |
| 1649639576 | Serenity's Diabetic Primary Care | Clinic/Center | 6000 Wolf Rd, Orlando, FL 32808-4259 | 2016-02-20 |
| 1780073353 | American Allergy Inc. | Clinic/Center | 2423 S Orange Ave, Suite 181, Orlando, FL 32806-4543 | 2015-01-20 |
| 1649690322 | Csi Pediatric Services, Inc. | Clinic/Center | 7054 W Colonial Dr, Orlando, FL 32818-6739 | 2014-04-22 |
| 1629494471 | Prestige Medical Services & Rehab LLC | Clinic/Center | 715 N Ferncreek Ave Ste B, Orlando, FL 32803-4108 | 2014-03-17 |
| 1134544612 | Orlando Family Wellness | Clinic/Center | 11883 Gennaro Ln, Orlando, FL 32827-7134 | 2014-02-20 |
| 1053755793 | Prestige Medical Services | Clinic/Center | 2614 E Colonial Dr Ste 400-5, Orlando, FL 32803-5029 | 2013-04-24 |
| Find all providers in ORLANDO | ||||
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| 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.