Organization
PRESTIGE MEDICAL LLC.
Active
Parent organization
PRESTIGE MEDICAL LLC
Other names
Prestige Medical LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE MEDICAL LLC
Authorized official
BRIAN NORRIS (OWNER)
(985) 377-8909
Entity
Organization
Contact information
Practice address
103 S NAVY BLVD, PENSACOLA, FL 32507-3603
(850) 361-1502
(850) 361-1503
Mailing address
103 S NAVY BLVD, PENSACOLA, FL 32507-3603
(850) 361-1502
(850) 361-1503
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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