Organization Active NPI

Prestige Medic Services & Rehab Center LLC

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1588074199
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC9454 Issued in FL
Legal business name
PRESTIGE MEDIC SERVICES & REHAB CENTER LLC
Practice address
2614 E Colonial Dr
Suite 400-5
Orlando, FL 32803-5028
Phone
(407) 897-1135
Fax
(407) 897-1136
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Nereida Infante
Title
Owner
Phone
(407) 897-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC9454 FL Primary

Addresses

Primary practice location

2614 E Colonial Dr
Suite 400-5
Orlando, FL 32803-5028

Mailing address

2614 E Colonial Dr Ste 400-5
Orlando, FL 32803-5029
Phone (407) 897-1135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1588074199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E COLONIAL DR STE 400-5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035029",
            "telephone_number": "407-897-1135",
            "fax_number": "407-897-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E COLONIAL DR",
            "address_2": "SUITE 400-5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035028",
            "telephone_number": "407-897-1135",
            "fax_number": "407-897-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDIC SERVICES & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "NEREIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-897-1135"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.