Organization · Type 2 NPI

Prestige Integrated Healthcare Solutions LLC

Nurse Practitioner · Belleview, FL

NPI number 1124999453 Active

Practice location

9623 SE 110th Street Rd
Belleview, FL 34420-3661

Fax (813) 755-3366

Mailing address

PO Box 161
Belleview, FL 34421-0161

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124999453

Prestige Integrated Healthcare Solutions LLC's National Provider Identifier is 1124999453, issued on Sep 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleview, FL. The record was last updated on Sep 18, 2025.