Organization
PRISTINE HOMECARE
Active
Other names
Mind & Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MATEO MARTINEZ (OWNER)
(215) 490-5705
Entity
Organization
Contact information
Practice address
1320 N SEMORAN BLVD, SUITE 108, ORLANDO, FL 32807
(407) 955-9483
Mailing address
624 EXECUTIVE PARK CT STE 1016A, STE 1016A, APOPKA, FL 32703
(215) 490-5705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113083400
—
FL
Enumeration date
12/18/2019
Last updated
05/11/2023
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