Organization Active NPI

Prevalus Enterprise LLC

  • Durable Medical Equipment & Medical Supplies
  • Boynton Beach, FL
National Provider Identifier
1700722857
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREVALUS ENTERPRISE LLC
Practice address
3938 W Sandpiper Dr Apt 2
Boynton Beach, FL 33436-2476
Phone
(561) 644-2261
NPI assigned
Apr 28, 2026
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Junior Prevalus
Title
Manager
Phone
(561) 644-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3938 W Sandpiper Dr Apt 2
Boynton Beach, FL 33436-2476

Mailing address

3938 W Sandpiper Dr Apt 2
Boynton Beach, FL 33436-2476

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1700722857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 W SANDPIPER DR APT 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 W SANDPIPER DR APT 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362476",
            "telephone_number": "561-644-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVALUS ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "PREVALUS",
        "authorized_official_first_name": "JUNIOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-644-2261"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.