Organization
PRESTIGE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN NORRIS (OWNER)
(251) 341-7295
Entity
Organization
Contact information
Practice address
857 DOWNTOWNER BLVD STE G, MOBILE, AL 36609-5420
(251) 341-7295
(251) 341-7690
Mailing address
103 S NAVY BLVD, PENSACOLA, FL 32507-3603
(850) 361-1502
(850) 361-1503
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
09/09/2019
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