Organization
PRESTIGE EXPRESS ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA ANN KELLY (PRESIDENT)
(904) 942-1305
Entity
Organization
Contact information
Practice address
901 NW 8TH AVE, SUITE, B-10, FL 32601
(877) 242-9816
Mailing address
1481 SE 36TH ST, GAINESVILLE, FL 32641-8854
(904) 942-1305
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2025
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