# PRIME CARE MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1447006614
- **Authorized official:** MARY FLORES (OWNER)
- **Authorized official phone:** (239) 989-4012

## Contact information

- **Practice address:** 3700 34TH ST STE 120C, ORLANDO, FL 32805-6601
- **Practice address phone:** (239) 989-4012
- **Mailing address:** 3700 34TH ST STE 120C, ORLANDO, FL 32805-6601

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2024
- **Last updated:** 04/27/2024