Prestab Co

LBN: Prestab Co
Prestab Co is an health care organization with primary practice located at 3016 Nw 79Th Ave , Doral FL 33122-1010. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prestab Co can be contacted via phone (305) 599-1643, or through Basulto, Alexis M. via phone (305) 599-7000.

Contact Information

Primary practice address
3016 Nw 79Th Ave Doral FL 33122-1010
Phone: (305) 599-1643
Fax: (305) 599-1663
Website:
Map and Directions
Authorized official contact:
Name: Basulto, Alexis M.
Phone: (305) 599-7000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH19462 Florida

Profile Details

NPI number 1730261033
LBN Legal business name Prestab Co
DBA Doing business as
Authorized official Basulto, Alexis M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730261033 NPPES
Florida MEDICAID 02697010

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