Prosperous, LLC
Organization Active NPI Specialist · Bear, MD
NPI 1003286287 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1003286287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- PROSPEROUS, LLC
- Practice address
- 131 Becks Woods Drive
Bear, MD 19701 - Phone
- (267) 559-3001
- Fax
- (302) 595-3149
- NPI assigned
- Oct 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Mariam Fouzia
- Title
- Managing Member
- Phone
- (267) 559-3001
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- All Care Family Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
131 Becks Woods Drive
Bear, MD 19701
Mailing address
PO Box 1165
Middletown, DE 19709-7165
Phone (267) 559-3001
Other names
- Cedar Tree Medical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.