1518313634 NPI number — NENAS UNITED ONE INSURANCE

Table of content: (NPI 1518313634)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518313634 NPI number — NENAS UNITED ONE INSURANCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NENAS UNITED ONE INSURANCE
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:
1518313634
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7738 GIBSONTON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GIBSONTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33534-4319
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-230-8083
Provider Business Mailing Address Fax Number:
813-649-8323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7738 GIBSONTON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIBSONTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33534-4319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-230-8083
Provider Business Practice Location Address Fax Number:
813-649-8323
Provider Enumeration Date:
05/07/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
JENNY
Authorized Official Middle Name:
I
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
813-230-8083

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , 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)

  • Identifier: Y2-3450 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: YB-9000 YOUNG ADULTS . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: LH-3500.2500 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: FN-1700.3350-250 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: FT-3900.3300 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: DD-1500.4800-350 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: YJ-8780 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: YJ-8800 . This is a "INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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