Provider Demographics
NPI:1053682567
Name:PRIZM MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:PRIZM MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZSOLT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENTAI
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:908-433-0468
Mailing Address - Street 1:200 VILLAGE SQUARE XING
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3224
Mailing Address - Country:US
Mailing Address - Phone:908-433-0468
Mailing Address - Fax:
Practice Address - Street 1:200 VILLAGE SQUARE XING
Practice Address - Street 2:SUITE 102
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3224
Practice Address - Country:US
Practice Address - Phone:908-433-0468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies