Prestige Medical LLC.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRESTIGE MEDICAL LLC.

Doing business as

Prestige Medical LLC.

Practice address

103 S Navy Blvd
Pensacola, FL 32507-3603

Phone

(850) 361-1502

Fax

(850) 361-1503

NPI assigned

Dec 13, 2019

Organization subpart

Yes

Parent organization

PRESTIGE MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Brian Norris

Title

Owner

Phone

(985) 377-8909

Specialties & licenses 1

Addresses

Other names 1

• Prestige Medical LLC. Doing business as

Part of

Prestige Medical LLC

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1770121311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325073603",
            "telephone_number": "850-361-1502",
            "fax_number": "850-361-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325073603",
            "telephone_number": "850-361-1502",
            "fax_number": "850-361-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE MEDICAL LLC",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-377-8909"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Medical LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Florida Medical PA (Navy Federal Wellness Center)
• Kenan Stewart Prentice, PA-C
• Jason Brett Presley, PA C
• Cullen Pressley, M.D.
• Heather Distelrath Presson, ARNP-CNP
• Carol Rene Preud'Homme, MD
• Ben Francis Prewitt Jr., M.D.
• Amber Price, CNM
• Christopher Wayne Price, DO
• Damilola Alade Price, PHARMD

• Multi-Specialty Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.