1467469536 NPI number — CHARLES AIESI CONSULTING. 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 1467469536 NPI number — CHARLES AIESI CONSULTING. INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHARLES AIESI CONSULTING. 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:
1467469536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
181 WEST PROSPECT ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKLAND PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-739-7764
Provider Business Mailing Address Fax Number:
954-739-7208

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
181 WEST PROSPECT ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-739-7764
Provider Business Practice Location Address Fax Number:
954-739-7208
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AIESI
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
954-739-7764

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , 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: 004607100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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