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PRESTIGE MEDRESOURCE LLC
NPI 1679351647
Nurse Practitioner - Family in Clermont, FL

Active since September 20, 2023
1206 BOWMAN ST STE 1, CLERMONT, FL 34711(352) 702-7134 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prestige Medresource Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE MEDRESOURCE LLC (NPI 1679351647) is a healthcare organization registered as a family in Clermont, Florida and active in the NPI registry since September 2023. The organization lists Donna Jackson Sharpe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679351647
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRESTIGE MEDRESOURCE LLC
Location Address1206 BOWMAN ST STE 1Clermont, FL 34711-3144
Mailing Address1206 Bowman St Ste 1Clermont, FL 34711-3144 · (352) 702-7134
Phone(352) 702-7134
Organization SubpartNo
Authorized OfficialDonna Jackson SharpeCeo · (352) 702-7134
Enumeration DateSeptember 20, 2023
Last NPPES UpdateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1679351647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1206 BOWMAN ST STE 1, Clermont, FL 34711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Medresource LLC's NPI number?

The NPI number for Prestige Medresource LLC is 1679351647. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Prestige Medresource LLC located?

Prestige Medresource LLC is located at 1206 Bowman St Ste 1, Clermont, FL 34711. The listed phone number is (352) 702-7134.

What is Prestige Medresource LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Prestige Medresource LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.