Provider Demographics
NPI:1003686551
Name:MEALS DIRECT OF FLORIDA, LLC
Entity Type:Organization
Organization Name:MEALS DIRECT OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-884-1538
Mailing Address - Street 1:2500 PARKVIEW DR APT 1708
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2809
Mailing Address - Country:US
Mailing Address - Phone:267-884-1538
Mailing Address - Fax:267-417-0160
Practice Address - Street 1:2500 PARKVIEW DR APT 1708
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2809
Practice Address - Country:US
Practice Address - Phone:267-884-1538
Practice Address - Fax:267-417-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals