Provider Demographics
NPI:1265264360
Name:PRI-MED HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:PRI-MED HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-815-3251
Mailing Address - Street 1:2121 CORPORATE SQUARE BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1990
Mailing Address - Country:US
Mailing Address - Phone:786-815-3251
Mailing Address - Fax:866-579-5123
Practice Address - Street 1:2121 CORPORATE SQUARE BLVD STE 135
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1990
Practice Address - Country:US
Practice Address - Phone:786-815-3251
Practice Address - Fax:866-579-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies