1336410349 NPI number — PHOENIX RISING NOW CORPORATION

Table of content: (NPI 1336410349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336410349 NPI number — PHOENIX RISING NOW CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHOENIX RISING NOW CORPORATION
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:
1336410349
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2625 TWEED RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANFORD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32771-6499
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-267-0415
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1540 INTERNATIONAL PKWY
Provider Second Line Business Practice Location Address:
SUITE 2000
Provider Business Practice Location Address City Name:
LAKE MARY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32746-4713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-267-0415
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
BAKER
Authorized Official First Name:
RHONDA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
407-267-0415

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  MT2629 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com