Prestige Outpatient Providers, LLC

NPI #1124599824 in Naples, Florida

Provider Information

NPI Number
1124599824
Entity Type
Organization
Organization Name
Prestige Outpatient Providers, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Dec 7, 2018
Last Updated
Dec 21, 2018

Practice Location

Address
2338 IMMOKALEE RD # 186
City
Naples
State
Florida
ZIP Code
34110-1445
Phone
(239) 330-2933

Authorized Official

Name
OKSANA RUSTAMOVA
Title
CREDENTIALING SPECIALIST
Phone
(646) 517-1257

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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