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Contact Information

PRIMA ELEMENTS, LLC
124 ANDERSON ST
FAYETTEVILLE, NC28301-5014
 Phone: 910-483-8406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for PRIMA ELEMENTS, LLC

NPI # 1114589645
LBN Legal business name PRIMA ELEMENTS, LLC
Authorized official ADRIAN BURGOS - (CO-OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/04/2019
Last updated 07/04/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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