Prestige Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRESTIGE MEDICAL CLINIC

Practice address

4699 N Federal Hwy Ste 209F-M
Pompano Beach, FL 33064-6510

Phone

(954) 800-6000

Fax

(954) 302-8409

NPI assigned

Jul 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose Jean

Title

Adminstrator

Phone

(561) 702-5740

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1013698604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY # 209F-M",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-800-6000",
            "fax_number": "954-302-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY STE 209F-M",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-800-6000",
            "fax_number": "954-302-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "561-702-5740"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Clinic, LLC
• Premier Medical Health & Wellness
• Premier Medical Services
• Premier Physicians of South Florida LLC
• Sheri Yolanda Prentiss, M.D., M.P.H.
• Prestine Medical Supplies, Inc
• Renee Pretsky
• Anthony Joseph Previtera, CAP
• Chandra Danette Price
• Prima Food Corp

• Primary Care Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.