A Prestige Wellness Center, Pa

LBN: A Prestige Wellness Center, Pa
A Prestige Wellness Center, Pa is an health care organization with primary practice located at 3650 Nw 82 Ave Suite #503, Doral FL 33166. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. A Prestige Wellness Center, Pa can be contacted via phone (305) 433-2005, or through Martinez, Luis A via phone (305) 433-2005.

Contact Information

Primary practice address
3650 Nw 82 Ave Suite #503 Doral FL 33166
Phone: (305) 433-2005
Fax: (305) 591-8020
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Luis A Doctor of Medicine (MD)
Phone: (305) 433-2005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96872 Florida

Profile Details

NPI number 1093969024
LBN Legal business name A Prestige Wellness Center, Pa
DBA Doing business as
Authorized official Martinez, Luis A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2008
Last updated Aug 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093969024 NPPES
Florida MEDICAID 273654301

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