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Organization
PRESTIGE PHYSICIANS LLC
Active
Organization
PRESTIGE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRA FENTON DO (PRESIDENT)
(954) 771-0611
Entity
Organization
Contact information
Practice address
4701 N FEDERAL HWY STE A21, FT LAUDERDALE, FL 33308-4608
(954) 770-0611
(954) 491-3930
Mailing address
4701 N FEDERAL HWY STE A21, FT LAUDERDALE, FL 33308-4608
(954) 770-0611
(954) 491-3930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS11016
FL
207R00000X
Internal Medicine Physician
OS11264
FL
Other
Enumeration date
11/14/2016
Last updated
01/17/2019
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