in Palm Coast - Contractor

- NPI 1235396144

is a Contractor in Palm Coast, Florida. practices all healthcare services and medical treatments related to Contractor. The NPI Number for is 1235396144. The last update date is .

's current location address is 29 Royal Leaf Ln, Palm Coast, Florida. You can contact this provider via phone number 3868527628. The mailing address for is 29 Royal Leaf Ln, Palm Coast, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 29 Royal Leaf Ln, Palm Coast, Florida
Phone Number 3868527628
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1235396144
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 29 Royal Leaf Ln
City Palm Coast
State Florida (FL)
Post Code 321646998
Phone Number 3868527628
Fax Number

Provider's Primary Taxonomy Detail

Speciality Contractor
Taxonomy 171W00000X
Definition:
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
230362100 FL --

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