Organization
PRESTINE MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEYDIE MALDONADO CARABALLO (PRESIDENT)
(754) 222-8274
Entity
Organization
Contact information
Practice address
351 S CYPRESS RD STE 317, POMPANO BEACH, FL 33060-7167
(954) 627-2491
Mailing address
351 S CYPRESS RD, POMPANO BEACH, FL 33060-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
04/01/2020
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