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Organization
PRESTIGE PRIMARY CARE
Active
Organization
PRESTIGE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESHA THIMMARAYAPPA MD (OWNER/PHYSICIAN)
(293) 676-0656
Entity
Organization
Contact information
Practice address
1855 VETERANS PARK DR STE 304, NAPLES, FL 34109-0446
(239) 676-0656
(239) 533-9735
Mailing address
1855 VETERANS PARK DR STE 304, NAPLES, FL 34109-0446
(239) 676-0656
(239) 533-9735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
09/07/2021
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