Organization · Type 2 NPI
Prestige Medresource LLC
Family Nurse Practitioner · Clermont, FL
NPI number
1679351647
Active
Practice location
1206 Bowman St Ste 1
Clermont, FL 34711-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1679351647
Prestige Medresource LLC's National Provider Identifier is 1679351647, issued on Sep 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clermont, FL. The record was last updated on Mar 30, 2026.