Organization
PR GROUP LLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARSH MEHTA (OWNER)
(727) 848-8300
Entity
Organization
Contact information
Practice address
5445 JAMES ST, NEW PORT RICHEY, FL 34652-3927
(727) 848-8300
(727) 848-8330
Mailing address
5445 JAMES ST, NEW PORT RICHEY, FL 34652-3927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031658000
—
FL
01
—
1020798
OTHER ID NUMBER
—
Enumeration date
08/14/2006
Last updated
09/30/2008
Update your record
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