Provider Demographics
NPI:1225382559
Name:THE FLEURANTIN CORP
Entity Type:Organization
Organization Name:THE FLEURANTIN CORP
Other - Org Name:TFC SERVICE BUREAU, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:D' ANDRE
Authorized Official - Last Name:FLEURANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-519-7672
Mailing Address - Street 1:4377 BRONX BLVD
Mailing Address - Street 2:202
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1397
Mailing Address - Country:US
Mailing Address - Phone:718-519-7672
Mailing Address - Fax:
Practice Address - Street 1:4377 BRONX BLVD
Practice Address - Street 2:202
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1397
Practice Address - Country:US
Practice Address - Phone:718-519-7672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty