Provider Demographics
NPI:1043737497
Name:PENNY PULZ GOLF LLC
Entity Type:Organization
Organization Name:PENNY PULZ GOLF LLC
Other - Org Name:FOCUS DETERMINES SUCCESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PULZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPSS
Authorized Official - Phone:623-877-8559
Mailing Address - Street 1:10315 W WININGER CIR STE B
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-4758
Mailing Address - Country:US
Mailing Address - Phone:623-877-8559
Mailing Address - Fax:
Practice Address - Street 1:10315 W WININGER CIR STE B
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-4758
Practice Address - Country:US
Practice Address - Phone:623-877-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty