# PRIME HEALTHCENTRAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medickass International Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710218540
- **Authorized official:** DR. CLAUDE KASSIM DO,MPH (PRESIDENT)
- **Authorized official phone:** (954) 889-7134

## Contact information

- **Practice address:** 630 DATURA ST, APT 12-A, WEST PALM BEACH, FL 33401-5314
- **Practice address phone:** (954) 889-7134
- **Mailing address:** 3540 NW 121ST AVE, BOX 451447, SUNRISE, FL 33323-3302
- **Mailing address phone:** (954) 889-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 05/12/2011