# PRAIRIECORE DME

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

## Provider details

- **NPI number:** 1831048289
- **Authorized official:** MS. JACKIE GUNTER ETC (OWNER)
- **Authorized official phone:** (239) 272-1666

## Contact information

- **Practice address:** 200 KNUTH RD STE 106B, BOYNTON BEACH, FL 33436-4635
- **Practice address phone:** (239) 272-1666
- **Mailing address:** 200 KNUTH RD STE 106B, BOYNTON BEACH, FL 33436-4635
- **Mailing address phone:** (239) 272-1666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 07/24/2026