1316997885 NPI number — APTEKA, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316997885 NPI number — APTEKA, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APTEKA, INC
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:
6
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:
1316997885
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7531 N FEDERAL HWY
Provider Second Line Business Mailing Address:
SUITE E-5
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33487-1634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-241-9930
Provider Business Mailing Address Fax Number:
561-241-9993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7531 N FEDERAL HWY
Provider Second Line Business Practice Location Address:
SUITE E-5
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33487-1634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-241-9930
Provider Business Practice Location Address Fax Number:
561-241-9993
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARKLE
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-241-9930

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , with the licence number:  DO4657 , 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: AI29769 . This is a "SPECTERA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 3716 APTEKA05 . This is a "SUPERIOR VISION" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: FL8832 . This is a "EYEMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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