# PRIME SERVICE NETWORKS OF FLORIDA

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

## Provider details

- **NPI number:** 1518736495
- **Authorized official:** MR. GEORGE M FERNANDEZ (PRESIDENT)
- **Authorized official phone:** (305) 542-8408

## Contact information

- **Practice address:** 6000 SW 74TH ST, MIAMI, FL 33143-5067
- **Practice address phone:** (305) 205-6433
- **Mailing address:** 6000 SW 74TH ST, MIAMI, FL 33143-5067
- **Mailing address phone:** (305) 205-6433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 12/20/2023