Prestige Community Clinic Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

PRESTIGE COMMUNITY CLINIC INC

Practice address

110 W 7TH St
Lakeland, FL 33805-4813

Phone

(407) 535-3857

Fax

(239) 302-1344

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Violet Lockhart

Title

Chairman /Registered Agent

Phone

(407) 535-3857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1730611492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FINCH CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594426",
            "telephone_number": "407-535-3857",
            "fax_number": "239-302-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 7TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054813",
            "telephone_number": "407-535-3857",
            "fax_number": "239-302-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "VIOLET",
        "authorized_official_title_or_position": "CHAIRMAN /REGISTERED AGENT",
        "authorized_official_telephone_number": "407-535-3857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Prendergast
• Rachael Prentice
• Melissa A Prescott, LCSW
• Helen B Present, P.T.
• Meagan Presnell
• Amber N Presto, APRN
• Theava Ismarella Preston, APRN
• James Wendell Prevatt, APRN
• Mariah Tienna Prevatte, APRN
• Mark Peter Preziosi, M.D.

• Voluntary or Charitable Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.