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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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