# PRISTINE VENTURES, LLC

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

## Provider details

- **NPI number:** 1245521525
- **Authorized official:** MR. GABRIEL OKEOMA OTUONYE (DIRECTOR)
- **Authorized official phone:** (850) 933-5242

## Contact information

- **Practice address:** 1965 CAPITAL CIR NE, TALLAHASSEE, FL 32308-8401
- **Practice address phone:** (850) 445-4365
- **Mailing address:** 1744 RODEO DR, TALLAHASSEE, FL 32311-8548
- **Mailing address phone:** (850) 933-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L11000044712 | FL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011