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1316254535
PRESTIGE HEALTH NETWORK LLC
MIAMI, FL
NPI
1316254535
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Entity Type
Organization
Authorized Contact
RICARDO L REGALADO
Owner
305-398-0807
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2010-09-09
Last Update Date
2010-09-09
Business Address
PRESTIGE HEALTH NETWORK LLC
7805 CORAL WAY SUITE 105
MIAMI, FL 33155-6539
Phone number: 305-398-0807
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Mailing Address
PRESTIGE HEALTH NETWORK LLC
PO BOX 141799
CORAL GABLES, FL 33114-1799
Phone number: 305-398-0807
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