1023729084 NPI number — BETTER CONNECTIONS

Table of content: (NPI 1023729084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023729084 NPI number — BETTER CONNECTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTER CONNECTIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023729084
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 4TH ST N STE 5102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33702-4305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-308-1485
Provider Business Mailing Address Fax Number:
352-329-4379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7901 4TH ST N STE 5102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33702-4305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-308-1485
Provider Business Practice Location Address Fax Number:
352-329-4379
Provider Enumeration Date:
12/12/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DIAZ FERNANDEZ
Authorized Official First Name:
VIRMARIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
352-308-1485

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1336786714 . This is a "NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1306248075 . This is a "NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".