Organization
PRIME HEALING CORP
Active
Organization
PRIME HEALING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY OUSTABASSIDIS (CEO)
(954) 864-3996
Entity
Organization
Contact information
Practice address
10101 W SAMPLE RD, CORAL SPRINGS, FL 33065-3907
(954) 864-3996
(347) 227-1368
Mailing address
10101 W SAMPLE RD, CORAL SPRINGS, FL 33065-3907
(954) 864-3996
(347) 227-1368
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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