Provider Demographics
NPI:1003428301
Name:MAVLET INC.
Entity Type:Organization
Organization Name:MAVLET INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIZGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-747-5164
Mailing Address - Street 1:1615 S CONGRESS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6326
Mailing Address - Country:US
Mailing Address - Phone:561-805-3551
Mailing Address - Fax:905-761-6651
Practice Address - Street 1:1615 S CONGRESS AVE STE 103
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6326
Practice Address - Country:US
Practice Address - Phone:561-805-3551
Practice Address - Fax:905-761-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care