Provider Demographics
NPI:1073095907
Name:NKANSA-GYANE INDUSTRIES LLC
Entity Type:Organization
Organization Name:NKANSA-GYANE INDUSTRIES LLC
Other - Org Name:NG INDUSTRIES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NKANSA-GYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-751-2277
Mailing Address - Street 1:4425 PARK BREEZE COURT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1021
Mailing Address - Country:US
Mailing Address - Phone:407-751-2277
Mailing Address - Fax:407-393-5520
Practice Address - Street 1:4425 PARK BREEZE COURT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-1021
Practice Address - Country:US
Practice Address - Phone:407-751-2277
Practice Address - Fax:407-393-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies