Provider Demographics
NPI:1952987224
Name:PRIME ELITE INC
Entity Type:Organization
Organization Name:PRIME ELITE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SNADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-722-0777
Mailing Address - Street 1:3505 LAKE LYNDA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-8333
Mailing Address - Country:US
Mailing Address - Phone:407-567-1900
Mailing Address - Fax:718-744-2200
Practice Address - Street 1:3505 LAKE LYNDA DR STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-8333
Practice Address - Country:US
Practice Address - Phone:407-567-1900
Practice Address - Fax:718-744-2200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1861045288
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies