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1124599824
PRESTIGE OUTPATIENT PROVIDERS, LLC
NAPLES, FL
NPI
1124599824
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Entity Type
Organization
Authorized Contact
OKSANA RUSTAMOVA
Credentialing Specialist
646-517-1257
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-12-07
Last Update Date
2018-12-21
Business Address
PRESTIGE OUTPATIENT PROVIDERS, LLC
2338 IMMOKALEE RD # 186
NAPLES, FL 34110-1445
Phone number: 239-330-2933
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Mailing Address
PRESTIGE OUTPATIENT PROVIDERS, LLC
2338 IMMOKALEE RD # 141
NAPLES, FL 34110-1445
Phone number: 239-330-2933
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