Pristine Ventures, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRISTINE VENTURES, LLC

Practice address

1965 Capital Cir NE
Tallahassee, FL 32308-8401

Phone

(850) 445-4365

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel Okeoma Otuonye

Title

Director

Phone

(850) 933-5242

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1245521525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 RODEO DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118548",
            "telephone_number": "850-933-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088401",
            "telephone_number": "850-445-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "OTUONYE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "OKEOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-933-5242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "L11000044712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sanders Prince, ARNP
• Raven Patricia Michelle Prince, CCMA
• Timanda Princinord
• Nayeli Abigail Prine, LMT
• Jeanna Renee Prisco
• Nikki Jeanne Pritchett, PH.D.
• Taylor Pritchett
• Tiffany J Pritchett
• Proactive Medical Alliance
• Amber Proctor, LCSW

• Durable Medical Equipment & Medical Supplies in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.