1891051132 NPI number — AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC

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 1891051132 NPI number — AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC
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:
1891051132
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 101369
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM BAY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32910-1369
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-890-7014
Provider Business Mailing Address Fax Number:
321-722-3760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1418 NORMAN ST NE
Provider Second Line Business Practice Location Address:
UNIT#1
Provider Business Practice Location Address City Name:
PALM BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32907-2267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-890-7014
Provider Business Practice Location Address Fax Number:
321-722-3760
Provider Enumeration Date:
04/11/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CENKNER
Authorized Official First Name:
DEANNALYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
321-890-7014

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  L11000062706 , 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)





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