# PRESTINE MEDICAL SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134756695
- **Authorized official:** HEYDIE MALDONADO CARABALLO (PRESIDENT)
- **Authorized official phone:** (754) 222-8274

## Contact information

- **Practice address:** 351 S CYPRESS RD STE 317, POMPANO BEACH, FL 33060-7167
- **Practice address phone:** (954) 627-2491
- **Mailing address:** 351 S CYPRESS RD, POMPANO BEACH, FL 33060-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 04/01/2020