Provider Demographics
NPI:1164176822
Name:PROMAZ TRADING LLC
Entity Type:Organization
Organization Name:PROMAZ TRADING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARBEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MAZRAANI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-388-9333
Mailing Address - Street 1:1211 KENNEWICK CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7673
Mailing Address - Country:US
Mailing Address - Phone:813-388-9333
Mailing Address - Fax:
Practice Address - Street 1:1211 KENNEWICK CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-7673
Practice Address - Country:US
Practice Address - Phone:813-388-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty