Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Outpatient Providers, LLC

Organization Internal Medicine Physician · NPI 1124599824

Prestige Outpatient Providers, LLC is an Internal Medicine Physician in Naples, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2338 Immokalee Rd # 186
Naples, FL 34110-1445
Phone: (239) 330-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1124599824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oksana Rustamova — Credentialing Specialist · (646) 517-1257
NPI enumeratedDecember 7, 2018
Last updated in NPPESDecember 21, 2018
Mailing address2338 Immokalee Rd # 141, Naples, FL 34110-1445

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