| NPI | 1326673013 |
|---|---|
| Former Legal Business Name | PRESTIGE HEALTHCARE GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO JOSE FIALLOS Owner 305-923-0484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-06-04 |