Organization
PREVALENCE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L ANTHONY (PRESIDENT)
(601) 981-0070
Entity
Organization
Contact information
Practice address
2501 DAVIE ROAD, SUITE 210, DAVIE, FL 33317-7424
(954) 635-6420
(866) 362-3293
Mailing address
PO BOX 12648, JACKSON, MS 39236-2648
(601) 981-0070
(601) 981-4513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH21965
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022400600
—
FL
01
—
1092395
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
05/20/2008
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