4040i.Com INC
Driver in Tampa, FL. Organization (NPI-2).
NPI number1295028686
StatusActive
Last updated in NPPESMay 18, 2011
Details
- NPI
- 1295028686
- Entity type
- Organization (NPI-2)
- Legal business name
- 4040i.Com INC
- Organization subpart
- No
- Enumeration date
- May 18, 2011
- Last updated
- May 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Other names
- 4040i Pro Health (Former Legal Business Name)
Practice location
405 S Dale Mabry HighwaySuite 110
Tampa, FL 33609
Phone 888-880-9626 · Fax 630-723-0077
Mailing address
405 S Dale Mabry HighwaySuite 110
Tampa, FL 33609
Phone 888-880-9626 · Fax 630-723-0077
Authorized official
Jose Gonzalez
Ceo
8778144040
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